Information Collection

1,3-Butadiene (29 CFR 1910.1051)

IC 14103 under ICR 201912-1218-007 · OMB 1218-0170.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0170 can be found here:

Documents and Forms

Document Name Document Type
butadiene app f mark-up.pdf Appendix F mark-up IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	1,3-Butadiene (29 CFR 1910.1051)	Agency IC Tracking Number:	1218-0170(2020)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1051

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: 57	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	2,807	-842	3,649
Annual IC Time Burden (Hours)	674	-241	915
Annual IC Cost Burden (Dollars)	76,469	-36,339	112,808

Documents for IC

Title	Document	Date Uploaded
Appendix F mark-up	butadiene app f mark-up.pdf	09/24/2018

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