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Federal forms, ICRs, and supporting documents

Information Collection

Summary of Estimated Annualized Respondent (State Consultation Program) Hour and Cost Burden

IC 259860 under ICR 202304-1218-003 · OMB 1218-0281.

Documents and Forms
Document Name
Document Type
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Instruction
Instruction
Instruction
Instruction
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Other-Worksheet
Information Collection (IC) Details

View Information Collection (IC)

Summary of Estimated Annualized Respondent (State Consultation Program) Hour and Cost Burden 1218-0NEW (2023)
 
Yes New
 
Mandatory
 
29 CFR 1908 (b)(4)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Worksheet PSM Evaluation Worksheet.docx No   Fillable Printable
Other-Worksheet Apx E Interim-Year SHARP Self-Eval (CPPM doc).docx No   Fillable Printable
Other-Worksheet Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx No   Fillable Printable
Other-Worksheet Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx No   Fillable Printable
Instruction Apx L-2 PSM SHARP Self-Eval.docx No   Printable Only
Instruction Apx L-3 Determining Applicability of PSM.docx No   Printable Only
Other-Worksheet Apx M Incident Invest Rep Template (CPPM doc).docx No   Fillable Printable
Other-Worksheet Table C-1 Optional PSM Wksht.docx No   Fillable Printable
Other-Worksheet Table C-2 Optional PSM Wksht.docx No   Fillable Printable
Other-Worksheet Table D Optional PSM Wksht.docx No   Fillable Printable
Other-Worksheet Table E Optional PSM Wksht.docx No   Fillable Printable
Other-Worksheet Table M Optional PSM Wksht.docx No   Fillable Printable

Workforce Management Worker Safety

 

244 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,844 0 2,844 0 0 0
Annual IC Time Burden (Hours) 9,258 0 9,258 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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