Information Collection

Respirator Program Records

IC 14417 under ICR 202408-1219-001 · OMB 1219-0048.

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Information Collection (IC) Details

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IC Title:	Respirator Program Records	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 56.5005 30 CFR 57.5005

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: 2,305	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	43,795	37,495	6,300
Annual IC Time Burden (Hours)	23,626	20,038	3,588
Annual IC Cost Burden (Dollars)	140,000	140,000	0

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