Grantee Quarterly Progress Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0100 can be found here:

Documents and Forms

Document Name Document Type
Form OSHA-171 Grantee Quarterly Progress Report Form
OSHA-171 Grantee Quarterly Progress Report osha_171.pdf www.osha.gov/dcsp/ote/sharwood/osha_171.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Grantee Quarterly Progress Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSHA-171	Grantee Quarterly Progress Report	osha_171.pdf	http://www.osha.gov/dcsp/ote/sharwood/osha_171.pdf	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	220	-48	268
Annual IC Time Burden (Hours)	2,640	-576	3,216
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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