Information Collection

4,4 Methylenedianiline - Medical Surveillance

IC 254268 under ICR 202504-1218-001 · OMB 1218-0183.

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Information Collection (IC) Details

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IC Title:	4,4 Methylenedianiline - Medical Surveillance	Agency IC Tracking Number:	1218-0183(2025)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1926.60

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: 330	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	927	-99	1,026
Annual IC Time Burden (Hours)	516	-55	571
Annual IC Cost Burden (Dollars)	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.

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