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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Voluntary Protection Program, Special Government Employee
Agency IC Tracking Number:
1218-0239(2014)
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
Instruction
VPP Application Instructions - CORPORATE Final 2014.doc
http://www.osha.gov/dcsp/vpp/application_corporate.html
Yes
Yes
Fillable Fileable
Instruction
VPP Application Instructions - MOBILE WORKFORCE Final 2014.doc
http://www.osha.gov/dcsp/vpp/application_mobile_workforce.html
Yes
Yes
Fillable Printable
Instruction
VPP Application Instructions SITE-BASED Final 09_18_14.doc
http://www.osha.gov/dcsp/vpp/application_sitebased.html
Yes
Yes
Fillable Printable
Instruction
VPP _Application_ PSM_Sites_ Supplement _A (2014).doc
https://www.osha.gov/dcsp/vpp/psmfinal2014.html
Yes
Yes
Printable Only
Instruction
PSM Supplement B 2013 - Participant Worksheet FINAL (2014).docx
No
Printable Only
Instruction
2012 VPP participant self eval - (2014).doc
No
Printable Only
Instruction
SGE Application Screen Fillable (2014).doc
https://www.osha.gov/dcsp/vpp/sge/sge_application.pdf
Yes
Yes
Fillable Printable
Instruction
Site-Based Participation Evaluation Report.docx
https://www.osha.gov/dcsp/vpp/vpp_report/site_based.pdf
Yes
Yes
Fillable Printable
Instruction
Mobile Workforce Participation Evaluation Report.doc
https://www.osha.gov/dcsp/vpp/vpp_report/mobile_workforce.pdf
Yes
Yes
Fillable Fileable
Instruction
Corporate Reapproval or Facility onsite Process Evaluation Report.doc
https://www.osha.gov/dcsp/vpp/process_template.pdf
Yes
Yes
Fillable Fileable
Instruction
PSM Supplemental Questions Supplement C.doc
No
Paper Only
Instruction
Supplement C-- PSM Questions.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,300
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
10 %
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
3,815
0
0
-440
0
4,255
Annual IC Time Burden (Hours)
114,150
0
-1,220
11
0
115,359
Annual IC Cost Burden (Dollars)
0
0
0
0
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.