Information Collection

MSPA Vehicle Mechanical Inspection Report

IC 13666 under ICR 201003-1235-017 · OMB 1235-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-514 MSPA Vehicle Mechanical Inspection Report	Form
WH-514 Vehicle Mechanical Inspection Report for Transportation WH-514.pdf www.osha.gov/pls/epub/wageindex.download?p_file=F4754/wh514.pdf	Form
WH-514A Vehicle Mechanical Inspection Report for Transportation WH-514a.pdf www.osha.gov/pls/epub/wageindex.download?p_file=F17594/wh514a.pdf	Form and Instruction

IC Title:

MSPA Vehicle Mechanical Inspection Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 500.100 29 CFR 500.101 29 CFR 500.102 29 CFR 500.45(b) 29 CFR 500.104 29 CFR 500.105(1(H)-(I)

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	WH-514	Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements	WH-514.pdf	http://www.osha.gov/pls/epub/wageindex.download?p_file=F4754/wh514.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-514A	Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements	WH-514a.pdf	http://www.osha.gov/pls/epub/wageindex.download?p_file=F17594/wh514a.pdf	No		Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 300

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,800	-1,260	3,060
Annual IC Time Burden (Hours)	150	-105	255
Annual IC Cost Burden (Dollars)	70,200	-70,800	141,000

Documents for IC

table that charts IC Documents
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.