Grantee Quarterly Progress Report

Forms and Documents

Document Name	Status
Form OSHA 171 Grantee Quarterly Progress Report Form	Modified
INSTRUCTIONS FOR PREPARING FORM 171(2010).pdf Supplementary Document	2011-01-04
OSHA Form 171 (2010).pdf Supplementary Document	2011-01-04
60DayFRN_1218-0100(08-24-10).pdf Supplementary Document	2011-01-04
29cfr95.51 (2010).pdf Supplementary Document	2011-01-04
Section 21.pdf Supplementary Document	2011-01-04
SS_1218-0100 Form 171 (01-03-11).pdf Supporting Statement A	2011-01-04

IC Document Collections

IC ID	Document Title	Status
14018	Grantee Quarterly Progress Report Form	Modified

ICR Details

OMB Control No: 1218-0100	ICR Reference No: 201101-1218-001
Status: Historical Active	Previous ICR Reference No: 200708-1218-002
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0100(2010)
Title: Grantee Quarterly Progress Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/02/2011
	Date Received in OIRA: 01/28/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved	04/30/2011
Responses	412	0	220
Time Burden (Hours)	4,944	0	2,640
Cost Burden (Dollars)	0	0	0

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Abstract: The Grantee Quarterly Progress Report is used to collect information concerning activities conducted during the quarter by grantees under OSHA's Susan Harwood training grants. The information is used to monitor progress and the use of Federal grant funds.

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Authorizing Statute(s): US Code: 29 USC 670 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 52035	08/24/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 5211	01/28/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Grantee Quarterly Progress Report	OSHA 171	Grantee Quarterly Progress Report

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ICR Summary of Burden

	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	412	220	0	0	192	0
Annual Time Burden (Hours)	4,944	2,640	0	0	2,304	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Agency is requesting an increase in burden hours by 2,304 (from 2,640 hours to 4,944 hours) because the annual number of grants managed by the Agency increased from a three-year average of 55 to 103. As outlined in OSHA Instruction Directive 02-00-003, the GQPR is required to be submitted in the Form 171 format. The instructions on FORM OMB No. 1218-0100 (Expires 10/31/2010) indicated this form may be used. Instructional wording on the form has been changed to match the OSHA Instruction Directive 02-00-003. This revision does not change the per response burden.

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Annual Cost to Federal Government: $23,010

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/28/2011

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