Information Collection

Appendix D (Ethylene Oxide)

IC 242974 under ICR 202007-1218-005 · OMB 1218-0108.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0108 can be found here:

Documents and Forms

Document Name Document Type
Appendix D (EtO).docx Appendix (EtO) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Appendix D (Ethylene Oxide)	Agency IC Tracking Number:	1218-0208(2020)

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1047

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: Ethylene Oxide	FR Citation: 84 FR 30740

Number of Respondents: 2,085	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	24,261	24,261
Annual IC Time Burden (Hours)	4,044	4,044
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Appendix (EtO)	Appendix D (EtO).docx	08/03/2020

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