View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1218-0274
ICR Reference No:
202301-1218-001
Status:
Historical Active
Previous ICR Reference No:
201902-1218-001
Agency/Subagency:
DOL/OSHA
Agency Tracking No:
1218-0274 (2023)
Title:
Occupational Safety and Health Administration Alliance Program
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:
03/28/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/15/2023
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2026
36 Months From Approved
03/31/2023
Responses
4,968
0
4,993
Time Burden (Hours)
14,318
0
14,122
Cost Burden (Dollars)
0
0
0
Abstract:
OSHA's Alliance Program is a structure for working with groups that are committed to worker safety and health. The program enables OSHA to enter into a voluntary cooperative relationship with industry, labor and other groups to improve workplace safety and health, prevent workplace fatalities, injuries and illnesses, and to reach employers and workers that OSHA may not otherwise reach through traditional methods. OSHA collects information from organizations that are signatories to an Alliance agreement through meetings, informal conversations and data forms. OSHA will use the collected information to develop Alliance agreements, support Alliance activities and Alliance agreement objectives, and develop annual and program-wide reports.
Authorizing Statute(s):
US Code:
29 USC 651
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:
87 FR 58377
09/26/2022
30-day Notice:
Federal Register Citation:
Citation Date:
88 FR 9910
02/15/2023
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
OSHA's Alliance Program (Private Sector)
OSHA 12-10.9a, OSHA 12-10.9b, OSHA 12-10.6, OSHA 12-10.10, OSHA 12-10.1a, OSHA 12-10.1b, OSHA 12-10.2a, OSHA 12-10.2b, OSHA 12-10.5, OSHA 12-10.5, OSHA 12-10.6, OSHA 12-10.7, OSHA 12-10.8
Consulate Alliance Template (Other Countries)
,
Alliance Feedback Questionnaire
,
National Alliance Agreement
,
National Alliance Renewal Agreement
,
Reginal Area Office Agreement
,
Reginal Area Office Renewal Agreement
,
Consulate Alliance Template - Mexico (English)
,
Consulate Alliance Template - Mexico (Spanish)
,
Consulate Alliance Template - Mexico (Spanish)
,
Biannual Data Reporting Form
,
Annual Alliance Evaluation Template
,
Annual Alliance Evaluation - Regional and Area Office
,
Alliance Program Ambassador
OSHA's Alliance Program (Public Sector)
OSHA 12-10.1a, OSHA 12-10.6, OSHA 12-10.8, OSHA 12-10.9a, OSHA 12-10.9b, OSHA 12-10.10, OSHA 12-10.1b, OSHA 12-10.2a, OSHA 12-10.2b, OSHA 12-10.5, OSHA 12-10.5, OSHA 12-10.6, OSHA 12-10.7
Consulate Alliance Template (Other Countries)
,
Alliance Feedback Questionnaire
,
National Alliance Agreement
,
National Alliance Renewal Agreement
,
Reginal Area Office Agreement
,
Reginal Area Office Renewal Agreement
,
Consulate Alliance Template - Mexico (English)
,
Consulate Alliance Template - Mexico (Spanish)
,
Consulate Alliance Template - Other Countries (Spanish)
,
Biannual Data Reporting Form
,
Annual Alliance Evaluation - Nation Office
,
Annual Alliance Evaluation - Regional and Area Office
,
Ambassador Document
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
4,968
4,993
0
-25
0
0
Annual Time Burden (Hours)
14,318
14,122
0
122
74
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The agency is requesting both an adjustment and a program change. The number of burden hours changed from 14,122 hours to 14,318 hours, an increase of 196 hours. The adjustment increase is due to an increase in the number field and national alliance programs established and reported. In addition, the program change is due to the agency discretion of adding two new forms and removing three of the existing forms from this collection which resulted in a decrease 25 in the number of responses.
Annual Cost to Federal Government:
$929,243
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:
Joann Green 202 693-1737 green.joann@dol.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
02/15/2023