Information Collection

Occupational Safety and Health State Plan Information

IC 14321 under ICR 201501-1218-009 · OMB 1218-0247.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0247 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Occupational Safety and Health State Plan Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1954 29 CFR 1956 29 CFR 1953 29 CFR 1902 29 CFR 1955 29 CFR 1952

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: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,264	0	1,264
Annual IC Time Burden (Hours)	11,197	1	11,196
Annual IC Cost Burden (Dollars)	0	0	0

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.