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OMB Control No: 1218-0064	ICR Reference No: 202008-1218-004
Status: Historical Active	Previous ICR Reference No: 201707-1218-003
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0064(2020)
Title: Notice of Alleged Safety or Health Hazards (OSHA-7 Form)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/20/2021
	Date Received in OIRA: 11/19/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	36 Months From Approved	07/31/2021
Responses	76,036	0	70,976
Time Burden (Hours)	21,171	0	19,258
Cost Burden (Dollars)	336	0	701

Abstract: The OSHA-7 Form is used by OSHA personnel to report unhealthful and/or unsafe conditions in the workplace. The information is given to OSHA by employees who wish to report unhealthful and/or unsafe conditions at their place of employment. Employee reports are authorized by Section 8(f)(1) of the OSH Act. This information is used by OSHA to evaluate the alleged hazards and to schedule an inspection. The form is available in English and Spanish. OSHA-7 Form has been translated into nine Asian American Pacific Islander languages.

Authorizing Statute(s): US Code: 29 USC 651 Name of Law: Occupational Safety and Health Act
US Code: 29 USC 657 Name of Law: Occupational Safety and Health Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 27765	05/11/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 73809	11/19/2020
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Notice of Alleged Safety or Health Hazards (OSHA-7 Form)	OSHA-7 (English, online), OSHA-7 (Spanish, online), OSHA-7 (Enlish, downloadable), OSHA-7 (Spanish, downloadable)	, , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	76,036	70,976	5,060
Annual Time Burden (Hours)	21,171	19,258	1,913
Annual Cost Burden (Dollars)	336	701	-365

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The agency is requesting an adjustment increase of 1,912.90 burden hours (from 19,258 to 21,170.90). The increase is a result of an estimated increase of 5,060 complaints received annually from 70,976 in the previous ICR to 76,036. Additionally, in the period since the last approval, the agency has experienced a shift away from complaints received in writing to those received electronically. The burden hour increase is off-set by a decrease in burden hours related to this shift. The agency also requests an adjustment decrease in operation and maintenance costs of $365.50 (from $701 to $335.50). The decrease occurred due to a decrease in the estimated number of written OSHA-7 forms being mailed from 1,430 to 610 forms. In addition, OSHA proposes several minor editorial and non-substantive revisions to the OSHA-7 Form to clarify instructions and modernize information sharing. The minor edits are also requested in response to feedback from field management, as well as to ensure consistency with current agency policies and procedures. The agency does not believe that the proposed revisions to the complaint form will further impact the adjusted burden hours.

Annual Cost to Federal Government: $379,870

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Rachel Showalter 202 693-2146 Showalter.Rachel@dol.gov

View ICR - OIRA Conclusion