Notice of Alleged Safety or Health Hazards (OSHA-7 Form)

Notice of Alleged Safety and Health Hazards (Form OSHA-7)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0064 can be found here:

Documents and Forms

Document Name Document Type
Form OSHA-7 Notice of Alleged Safety or Health Hazards (OSHA-7 Form) Form and Instruction
OSHA-7 Notice of Alleged Safety or Health Hazards OSHA-7 (OSHA.gov, paper form) 05142014.pdf Form and Instruction
OSHA-& On-Line OSHA Online Complaint Form-Notice of Alleged Safety or H OSHA-7 On-line(2014).docx www.osha.gov/pls/osha7/eComplaintForm.html Form and Instruction
How to File a Compaint with OSHA Web Page(2014).docx How to File a Complaint with OSHA IC Document

Information Collection (IC) Details

IC Title:	Notice of Alleged Safety or Health Hazards (OSHA-7 Form)	Agency IC Tracking Number:	1218-0064(2014)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1903.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSHA-7	Notice of Alleged Safety or Health Hazards	OSHA-7 (OSHA.gov, paper form) 05142014.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	OSHA-& On-Line	OSHA Online Complaint Form-Notice of Alleged Safety or Health Hazards	OSHA-7 On-line(2014).docx	http://www.osha.gov/pls/osha7/eComplaintForm.html	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,641	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 52 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50,641	-74	50,715
Annual IC Time Burden (Hours)	13,659	245	13,414
Annual IC Cost Burden (Dollars)	13,659	12,543	1,116

Documents for IC

Title	Document	Date Uploaded
How to File a Complaint with OSHA	How to File a Compaint with OSHA Web Page(2014).docx	05/30/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.