Information Collection

MSPA Vehicle Mechanical Inspection Report

IC 13666 under ICR 201003-1235-017 · OMB 1235-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0017 can be found here:

Documents and Forms

Document Name Document Type
Form WH-514 MSPA Vehicle Mechanical Inspection Report Form
WH-514 Vehicle Mechanical Inspection Report for Transportation WH-514.pdf www.osha.gov/pls/epub/wageindex.download?p_file=F4754/wh514.pdf Form
WH-514A Vehicle Mechanical Inspection Report for Transportation WH-514a.pdf www.osha.gov/pls/epub/wageindex.download?p_file=F17594/wh514a.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MSPA Vehicle Mechanical Inspection Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 500.100 29 CFR 500.101 29 CFR 500.102 29 CFR 500.45(b) 29 CFR 500.104 29 CFR 500.105(1(H)-(I)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH-514	Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements	WH-514.pdf	http://www.osha.gov/pls/epub/wageindex.download?p_file=F4754/wh514.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-514A	Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements	WH-514a.pdf	http://www.osha.gov/pls/epub/wageindex.download?p_file=F17594/wh514a.pdf	No		Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 300

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,800	-1,260	3,060
Annual IC Time Burden (Hours)	150	-105	255
Annual IC Cost Burden (Dollars)	70,200	-70,800	141,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

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