Information Collection

Petitions for Modification of Mandatory Safety Standards

IC 38534 under ICR 202201-1219-004 · OMB 1219-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0065 can be found here:

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Information Collection (IC) Details

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IC Title:	Petitions for Modification of Mandatory Safety Standards	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 44.9 30 CFR 44.10 30 CFR 44.11

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: 56	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 86 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	56	-12	68
Annual IC Time Burden (Hours)	2,240	-480	2,720
Annual IC Cost Burden (Dollars)	28,545	3,629	24,916

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