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.