3,3-DICHLOROBENZIDINE AND ITS SALTS

ICR 199308-1218-005

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
122627
Migrated
ICR Details
1218-0083 199308-1218-005
Historical Active 199007-1218-002
DOL/OSHA
3,3-DICHLOROBENZIDINE AND ITS SALTS
Revision of a currently approved collection   No
Regular
Approved without change 08/13/1993
Retrieve Notice of Action (NOA) 08/09/1993
We have approved through August 1996 the information collection requirements in this submission for which the agency has requested an OMB number.
  Inventory as of this Action Requested Previously Approved
08/31/1996 08/31/1996 11/30/1993
26 0 25
146 0 145
0 0 0

THE PURPOSE OF THIS STANDARD AND ITS INFORMATION COLLECTION REQUIREMEN IS TO PROVIDE PROTECTION FOR EMPLOYEES FROM THE ADVERSE HEALTH EFFECTS ASSOCIATED WITH OCCUPATIONAL EXPOSURE TO 3,3-DICHLOROBENZIDINE.

None
None


No

1
IC Title Form No. Form Name
3,3-DICHLOROBENZIDINE AND ITS SALTS

  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 26 25 0 0 1 0
Annual Time Burden (Hours) 146 145 0 0 1 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.
08/09/1993


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