OTHER SUPPLEMENTAL ASSURANCES

ICR 198101-1218-001

OMB: 1218-0037

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
122484 Migrated
ICR Details
1218-0037 198101-1218-001
Historical Active
DOL/OSHA
OTHER SUPPLEMENTAL ASSURANCES
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/18/1981
Retrieve Notice of Action (NOA) 01/08/1981
DOL MUST SUBMIT AN ESTIMATE OF TOTAL FEDERAL COSTS FOR THIS REPORTING REQUIREMENT, INCLUDNG FILING AND ANALYSIS COSTS, NO MATTER HOW NEGLIGIBLE, WITH ANY REQUEST FOR EXTENSION OR REVISION OF THIS APPROVAL.
  Inventory as of this Action Requested Previously Approved
02/28/1982 02/28/1982
155 0 0
3,875 0 0
0 0 0

DEPENDING ON EACH INDIVIDUAL GRANTEE NEED, OTHER INFORMATION MAY BE FURNISHED TO OSHA STAFF. SUCH INFORMATION INCLUDES: SUBMITTAL OF REVISED PROPOSAL BEFORE GRANT AWARD, QUESTIONNAIRE OR SURVEY PLANS (IN ACCORDANCE WITH THE FEDERAL REPORTS ACT OF 1942), AND GRANTEE NOTIFICATION OF MODIFICATION TO THE GRANT PLAN, INCLUDING A REVISED SF-424.

None
None


No

1
IC Title Form No. Form Name
OTHER SUPPLEMENTAL ASSURANCES OSHA-179

  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 155 0 0 155 0 0
Annual Time Burden (Hours) 3,875 0 0 3,875 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
01/08/1981


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