Information Collection

Access To Employee Exposure And Medical Records

IC 122558 under ICR 198512-1218-002 · OMB 1218-0065.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0065 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

ACCESS TO EMPLOYEE EXPOSURE AND MEDICAL RECORDS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSHA 243				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,170,979

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	21,673,583	21,673,583
Annual IC Time Burden (Hours)	1,502,275	1,502,275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.