Information Collection

Student Data Form

IC 14106 under ICR 202503-1218-005 · OMB 1218-0172.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0172 can be found here:

Documents and Forms

Document Name Document Type
Form OHSA Form 182 Student Data Form Form and Instruction
Form OHSA Form 182 Student Data Form Form and Instruction
OHSA Form 182 Student Data Form Student Data Form SS_1218-0172_Modified 3.2025 CLEAN.pdf oshaelearning.geniussis.com/PublicStudentSignUp.aspx Form and Instruction
OHSA Form 182 Student Data Form Student Data Form SS_1218-0172_Modified 3.2025 CLEAN.pdf oshaelearning.geniussis.com/PublicStudentSignUp.aspx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Student Data Form	Agency IC Tracking Number:	1218-0172(2023)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OHSA Form 182	Student Data Form	Student Data Form SS_1218-0172_Modified 3.2025 CLEAN.pdf	https://oshaelearning.geniussis.com/PublicStudentSignUp.aspx	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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