View Information Collection (IC)

View Information Collection (IC)

IC Title:	Formaldehyde Standard (1910.1020 and 1910.1048)	Agency IC Tracking Number:	1218-0145(2016)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1020 29 CFR 1910.1048

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Appendix D to 1910.1048	Nonmandatory Medical Disease Questionnaire	Formaldehyde Appendix D with Burden Box.docx		No		Printable 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: 86,320	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	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	906,101	0	0	1,899	0	904,202
Annual IC Time Burden (Hours)	238,435	0	0	581	0	237,854
Annual IC Cost Burden (Dollars)	43,560,060	0	0	1,835,764	0	41,724,296

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.