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⚠️ Notice: This information collection may be referencing outdated material.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 Form 171 (2010).pdf www.osha.gov/dte/sharwood/osha_171.html Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Grantee Quarterly Progress Report	Agency IC Tracking Number:	1218-0100(2010)

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 Form 171 (2010).pdf	http://www.osha.gov/dte/sharwood/osha_171.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 103	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 8 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	412	192	220
Annual IC Time Burden (Hours)	4,944	2,304	2,640
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.