1625-0063_SS_r2_2013_attachment

1625‐0063
Appendix A: Estimated Hour & Cost Burden
Information Collection Category Annual Response
Initial Exposure Monitoring
0.1
Periodic Exposure Monitoring
0.5
Additional Exposure Monitoring
0.1
Notification of Exposure Monitoring Annual Response
Written notification preparation
0.5
Prep, Copy, Distribute
0.5
Written Exposure Reduction Programs Annual Response
Preparation of Written Program
0.1
Type Program
0.1
Written Respiratory Protection Programs Annual Response
Preparation of Written Program
0.09
Type Program
0.09
Fit to Wear Respirator Annual Response
Annual Medical Monitoring ‐ Physician
2
Annual Medical Monitoring ‐ Employee
2
Respirator Fit Testing Records Annual Response
prep, test, record preparation
10
employee time for test
10
Medical Monitoring Annual Response
Exam Cost ‐ Physician Time
12.5
Exam Cost ‐ Employee Time
12.5
Exam Cost ‐ Technician Time
12.5
Outside Lab Costs
12.5
Annual Response
Information for Physicians
12.5
Material Safety Data Sheets
35
Employee Training
16.5

Total Responses Hours Hourly Wage
20
120
$84
100
40
$84
20
40
$84
Total Responses Hours Hourly Wage
100
1
$84
100
3
$36
Totals:
Total Responses Hours Hourly Wage
20
40
$84
20
2
$36
Totals:
Total Responses Hours Hourly Wage
18
24
$84
18
2
$36
Totals:
Total Responses Hours Hourly Wage
400
0.5
$109
400
0.5
$27
Totals:
Total Responses Hours Hourly Wage
2,000
2.67
$32
2,000
2
$27
Totals:
Total Responses Hours Hourly Wage
2,500
1
$109
2,500
4
$27
2,500
1
$32
2,500
‐
$220
Totals:
Total Responses Hours Hourly Wage
2,500
1
$84
7,000
0.25
$36
3,301
0.083
$32
1 of 1

Respondents:
Annual Hour
2,400
4,000
800
Annual Hour
100
300
400
Annual Hour
800
40
840
Annual Hour
432
36
468
Annual Hour
200
200
400
Annual Hour
5,333
4,000
9,333
Annual Hour
2,500
10,000
2,500
‐
15000
Annual Hour
2,500
1,750
274

200
Annual Cost
$201,600
$336,000
$67,200
Annual Cost
$8,400
$10,800
$19,200
Annual Cost
$67,200
$1,440
$68,640
Annual Cost
$36,288
$1,296
$37,584
Annual Cost
$21,800
$5,400
$27,200
Annual Cost
$170,666.67
$108,000.00
278666.6667
Annual Cost
$272,500
$270,000
$80,000
$550,000
$1,172,500
Annual Cost
$210,000
$63,000
$8,768

1625‐0063

Appendix B: Estimated Annual Hour & Cost Burden ‐ Summary
Information Collection Category
Total Responses
Initial Exposure Monitoring
20
Periodic Exposure Monitoring
100
Additional Exposure Monitoring
20
Notification of Exposure Monitoring
200
Written Exposure Reduction Programs
40
Written Respiratory Protection Programs
36
Fit to Wear Respirator
800
Respirator Fit Testing Records
4,000
Medical Monitoring
10,000
Information for Physicians
2,500
Material Safety Data Sheets
7,000
Employee Training
3,301
Totals:
28,017

1 of 1

Hour Burden Cost Burden
2,400
$201,600
4,000
$336,000
800
$67,200
400
$19,200
840
$68,640
468
$37,584
400
$27,200
9,333
$278,667
15,000
$1,172,500
2,500
$210,000
1,750
$63,000
274
$8,768
38,165
$2,490,359
Per Company:
$12,452