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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
OSHA's Conflict of Interest (COI) and Disclosure Form
Agency IC Tracking Number:
1218-0255(2017)
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
Form
OSHA10-80.1
Conflict of Interest Short Form
COI_Short_Form_2017.doc
No
Paper Only
Form
OSHA10-80.2
Conflict of Interest Long Form
COI_Long_Form_2017 OSHA10-80.2.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
36
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
36
0
0
0
0
36
Annual IC Time Burden (Hours)
27
0
0
0
0
27
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.
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The .gov means it's official.
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