Information Collection

Formaldehyde Standard (1910.1020 and 1910.1048)

IC 14087 under ICR 201611-1218-006 · OMB 1218-0145.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0145 can be found here:

Documents and Forms

Document Name Document Type
Form Appendix D to 1910 Formaldehyde Standard (1910.1020 and 1910.1048) Form
Appendix D to 1910 Nonmandatory Medical Disease Questionnaire Formaldehyde Appendix D with Burden Box.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Formaldehyde Standard (1910.1020 and 1910.1048)	Agency IC Tracking Number:	1218-0145(2016)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1020 29 CFR 1910.1048

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Appendix D to 1910.1048	Nonmandatory Medical Disease Questionnaire	Formaldehyde Appendix D with Burden Box.docx		No		Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 86,320	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	906,101	1,899	904,202
Annual IC Time Burden (Hours)	238,435	581	237,854
Annual IC Cost Burden (Dollars)	43,560,060	1,835,764	41,724,296

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.