ARRA Question

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

Department of Labor, Occupational Safety and Health Administration

0209
1218
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Enter only items that change
Current record

New record

Agency form number (s)

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically
Total annual hours

%
16,633

%
17,633

Difference

1,000

Explanation of difference

1,000 PC

Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

See attached.

Signature of Senior Official or designee:

** This form cannot be used to extend an expiration date.

OMB 83-C

Date:

For OIRA Use
___________________________________
___________________________________

10/95

-Note To ReviewerThe following question will be added to the 2009 data collection under 1218-0209. The question
will only be asked of establishments in the construction industry (approximately 20,000 of the
100,000 respondents):
Response to this question is optional: Is your business currently working on a project
funded by the American Recovery and Reinvestment Act of 2009 (Stimulus Plan)?
OSHA estimates it will take 3 minutes (.05 hour) for each respondent to respond to the question,
adding 1,000 hours increasing the total burden hours from 16,633 to 17,633 hours.
The information generated by this question will allow OSHA to focus resources towards
construction establishments with high rates of injuries and illnesses that are working on projects
funded by the ARRA.

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