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Federal forms, ICRs, and supporting documents

Information Collection

OSHA's Alliance Program (Public Sector)

IC 234835 under ICR 202508-1218-006 · OMB 1218-0274.

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Information Collection (IC) Details

View Information Collection (IC)

OSHA's Alliance Program (Public Sector) 1218-0274(2025)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form OSHA 12-10.6 Consulate Alliance Template (Other Countries) Consulate Alliance Template - Other Countries (2-20-19) cover sheet.doc https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.8 Alliance Feedback Questionnaire Evaluation Form - 2-22-19.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.6 Consulate Alliance Template - Other Countries (Spanish) 6b. Consulate Alliance Template - Other Countries (Spanish) - OMB 0274.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.7 Biannual Data Reporting Form 7. Biannual Data Reporting Form.xlsm https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.9a Annual Alliance Evaluation - Nation Office 9. Annual Alliance Evaluation Template- National Office.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.9b Annual Alliance Evaluation - Regional and Area Office 10. Annual Alliance Evaluation Template- REgional and Area Office.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.1a National Alliance Agreement 1- National-Alliance-Agreement.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.1b National Alliance Renewal 2- National-Alliance-Renewal.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.2a Regional/Area Office Alliance Agreement 3- Regional-Area-Office-Agreement.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.2b Regional/Area Office Alliance Renewal 4- Regional-Area-Office-Renewal.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.10 Ambassador Document (National and Regional/Area Office) 5- Ambassador-Document.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.5 Consulate Alliance Template- Mexico (English) 6a- Mexico-Consulate-English.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable
Form OSHA 12-10.5 Consulate Alliance Template- Mexico (Spanish) 6b- Mexico-Consulate-Spanish.docx https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

20 0
   
State, Local, and Tribal Governments
 
   90 %

  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 410 0 0 13 0 397
Annual IC Time Burden (Hours) 1,274 0 0 129 0 1,145
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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