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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
OSHA's Alliance Program (Private Sector)
Agency IC Tracking Number:
1218-0NEW (2019)
Is this a Common Form?
No
IC Status:
New
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
OSHA 12-10.1a
National Alliance Agreement Template
National Alliance Agreement (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.1b
National Alliance Renewal Agreement Template
National Alliance Renewal Agreement (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.2a
Regional Area Office Alliance Agreement Template
Regional_Area Office Agreement (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.2b
Regional Area Office Alliance Renewal Agreement Template
Regional_Area Office Renewal (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.7
Biannual Alliance Data Reporting Form
Biannual Alliance Data Reporting Form (2-22-19).docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.3
National Alliance Annual Report Template
NO Alliance Annual Report Template (02-22-19).doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.4
Regional Alliance Annual Report Template
Regional Alliance Annual Report Template (2-22-19.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.5
Consulate Alliance Template (Mexico)
Consulate Alliance Template - Mexico (2-20-19) cover sheet.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
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
Yes
Yes
Fillable Fileable
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:
230
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
4,594
0
0
0
4,594
0
Annual IC Time Burden (Hours)
12,992
0
0
0
12,992
0
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.