Information Collection

Technical Safety Panel

IC 185382 under ICR 200901-1219-004 · OMB 1219-0145.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0145 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Technical Safety Panel	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 75.380(f)(1) 30 CFR 14.5 30 CFR 75.371(jj) 30 CFR 75.381(e) 30 CFR 75.1103-8(c) 30 CFR 75.1103-5(a)(2)(ii) 30 CFR 75.1103-8(b) 30 CFR 14.10(b) 30 CFR 48.27(a) 30 CFR 75.156 30 CFR 75.350(a)(2) 30 CFR 75.350(b) 30 CFR 75.350(b)(7) 30 CFR 75.350(b)(8) 30 CFR 75.371(yy) 30 CFR 75.371(zz) 30 CFR 75.1103-5(a) 30 CFR 75.350(d)(1) 30 CFR 14.4 30 CFR 75.371(mm) 30 CFR 75.371(nn)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 634	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	148,692	148,692
Annual IC Time Burden (Hours)	3,875	3,875
Annual IC Cost Burden (Dollars)	133,366	133,366

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.