Information Collection

Cadmium in General Industry (29 CFR 1910.1027) Appendix D

IC 237716 under ICR 201903-1218-005 · OMB 1218-0185.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0185 can be found here:

Documents and Forms

Document Name Document Type
Form 29 CFR 1910.1027 A Cadmium in General Industry (29 CFR 1910.1027) Appendix D Form and Instruction
29 CFR 1910.1027 A Occupational Health History Interview with Reference to SIP IV Final Rule - Cadmium Appendix D Public Burden Statement (03.27.19).docx Form and Instruction
cadmiun in gen ind app d mark-up 03.28.19.pdf Appendix D mark-up IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cadmium in General Industry (29 CFR 1910.1027) Appendix D	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1027

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	29 CFR 1910.1027 Appendix D	Occupational Health History Interview with Reference to Cadmium Exposure (not in use as separate instrument from CFR)	SIP IV Final Rule - Cadmium Appendix D Public Burden Statement (03.27.19).docx		Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26,047	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
Annual Number of Responses for this IC	26,047	26,047
Annual IC Time Burden (Hours)	6,512	6,512
Annual IC Cost Burden (Dollars)	753,261	753,261

Documents for IC

Title	Document	Date Uploaded
Appendix D mark-up	cadmiun in gen ind app d mark-up 03.28.19.pdf	03/28/2019

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