Information Collection

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

IC 13971 under ICR 201405-1218-001 · OMB 1218-0064.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.