PRELIMINARY FATALITY/CATASTROPHE EVENT REPORT

ICR 198001-1218-002

OMB: 1218-0007

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
122422 Migrated
ICR Details
1218-0007 198001-1218-002
Historical Active 197706-1218-001
DOL/OSHA
PRELIMINARY FATALITY/CATASTROPHE EVENT REPORT
Extension without change of a currently approved collection   No
Regular
Approved without change 02/26/1980
Retrieve Notice of Action (NOA) 01/22/1980
  Inventory as of this Action Requested Previously Approved
01/31/1983 01/31/1983 02/28/1980
5,000 0 5,000
500 0 500
0 0 0

WHEN THIS IS A FATALITY OR CATASTROPHE, THE EMPLOYER IS REQUIRED TO REPORT TO THE NEAREST OSHA OFFICE AND PROVIDE INFORMATION WHICH IS RECORDERED BY AN OSHA EMPLOYEE ON THE OSHA-36 TO HELP THE AREA DIRECTOR DETERMINE WHAT INVESTIGATION IS REQUIRED, TO MAINTAIN A RECORD OF SUCH REPORTS, AND TO PROVIDE DATA TO THE NATIONAL OFFICE FOR ANALYSIS.

None
None


No

1
IC Title Form No. Form Name
PRELIMINARY FATALITY/CATASTROPHE EVENT REPORT OSHA-36

  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 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 500 500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/22/1980


© 2024 OMB.report | Privacy Policy