Pilot Study and Prospective Analysis of the Draft Revised Form 33, Safety and Health Program Assessment Worksheet
Extension without change of a currently approved collection
No
Regular
05/14/2025
Requested
Previously Approved
36 Months From Approved
06/30/2025
810
2,139
888
4,974
0
0
OSHA conducts validity and reliability analyses of a safety and health program assessment worksheet, the Draft Revised Form 33. The studies will enable OSHA to ensure that a valid, reliable, and efficient tool is provided to On-Site Consultation programs in the fifty states, the District of Columbia, and several United States territories to replace the current OSHA Form 33, thereby, enhancing the quality of consultative services. The studies for which OSHA has requested approval comprises of a pre-test, a follow-up study, and a Prospective Analysis and OSHA is requesting additional time to complete the remaining studies.
After completing the Pilot Study, OSHA will request OMB approval before implementing the DRF33 for use by state On-Site Consultation programs nationwide (to replace the current Form 33). Similarly, OSHA will seek OMB approval if any additional updates are made to the approved worksheet, following the Prospective Analysis.
US Code:
29 USC 651
Name of Law: Occupational Safety and Health Act
US Code:
29 USC 670
Name of Law: Occupational Safety and Health Act
The agency is retaining a balance of 888 burden hours to complete the remaining tasks for the pilot study from 4,974 burden hours originally estimated to complete the entire pilot study.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form Form 33 Estimated Respondent (State Consultation Programs) Hour and Cost Burden for Pilot Study
Pilot Study-form 33_1218-0280 Sup St A_4-9-25 ROCIS.docx
OSHA Act Section 2- 29 USC 651.pdf
Summary of Estimated Respondent (Employer) Hour and Cost Burden