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OSHA's Alliance Program (Public Sector) 1218-0NEW
 
No New
 
Voluntary
 

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 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 12-10.4 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 https://www.osha.gov/dcsp/alliances/template.html Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

20 0
   
State, Local, and Tribal Governments
 
   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 399 0 0 0 399 0
Annual IC Time Burden (Hours) 1,130 0 0 0 1,130 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.