3.3-DICHOLOROBENZIDINE (AND ITS SALTS)

ICR 198312-1218-010

OMB: 1218-0083

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
122624 Migrated
ICR Details
1218-0083 198312-1218-010
Historical Active
DOL/OSHA
3.3-DICHOLOROBENZIDINE (AND ITS SALTS)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/17/1984
Retrieve Notice of Action (NOA) 12/29/1983
  Inventory as of this Action Requested Previously Approved
01/31/1987 01/31/1987
227 0 0
594 0 0
0 0 0

THESE REQUIREMENTS ARE NECESSARY TO PROTECT AND MONITOR THE HEALTH OF EMPLOYEES WHO WORK IN ESTABLISHMENTS WERHE THE CARCINOGENIC CHEMICAL 3.3-DICHLOROBENZIDINE IS USED OR PRODUCED.

None
None


No

1
IC Title Form No. Form Name
3.3-DICHOLOROBENZIDINE (AND ITS SALTS) OSHA 257

  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 227 0 0 0 227 0
Annual Time Burden (Hours) 594 0 0 0 594 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.
12/29/1983


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