Grantee Quarterly Progress Report

Occupational Safety and Health Administration 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⚠️ Notice: This information collection may be referencing outdated material.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 171 Instructions 5-16-14).doc Instruction
OSHA/171 Grantee Quarterly Progress Report OSHA Form 171 Rev 04082014.pdf Form

Information Collection (IC) Details

IC Title:	Grantee Quarterly Progress Report	Agency IC Tracking Number:	1218-0100(2014)

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
Instruction			Form 171 Instructions 5-16-14).doc		Yes	No	Printable Only
Form	OSHA/171	Grantee Quarterly Progress Report	OSHA Form 171 Rev 04082014.pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 91	Number of Respondents for Small Entity: 40

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	364	-48	412
Annual IC Time Burden (Hours)	5,096	152	4,944
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.