OTHER SUPPLEMENTAL ASSURANCES

ICR 198409-1218-002

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
168554 Migrated
ICR Details
1218-0037 198409-1218-002
Historical Active 198204-1218-003
DOL/OSHA
OTHER SUPPLEMENTAL ASSURANCES
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/10/1984
Approved with change 09/10/1984
Retrieve Notice of Action (NOA) 09/10/1984
  Inventory as of this Action Requested Previously Approved
11/30/1984 11/30/1984 11/30/1984
135 0 135
2,000 0 3,375
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, GRANTEE SUBMITTAL OF MATERIALS FOR OSHA REVIEW BEFORE PUBLICATION, GRANTEE SUBMITTAL OF QUESTIONNAIRE OR SURVEY PLANS AND GRANTEE NOTIFICATION OF MODIFICATION TO GRANT PLAN

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 135 135 0 0 0 0
Annual Time Burden (Hours) 2,000 3,375 0 0 -1,375 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.
09/10/1984


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