Information Collection

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

IC 13971 under ICR 201606-1218-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
OSHA-7 OSHA Form 7 Chinese OSHA Form 7 Chinese.docx	Form
OSHA-7 OSHA Form 7 Eastern Punjabi OSHA Form 7 Eastern Punjabi.docx	Form
OSHA-7 OSHA Form 7 Korean OSHA Form 7 Korean.docx	Form
OSHA-7 OSHA Form 7 Nepali OSHA Form 7 Nepali.doc	Form
OSHA-7 OSHA Form Tagalog OSHA Form 7 Tagalog.docx	Form
OSHA-7 OSHA Form 7 Traditional Chinese OSHA Form 7 Traditional Chinese.docx	Form
OSHA-7 OSHA Form 7 Urdu OSHA Form 7 Urdu.docx	Form
OSHA-7 OSHA Form 7 Vietnamese OSHA Form 7 Vietnamese.docx	Form
OSHA-7 OSHA Form 7 Western Punjami OSHA Form 7 Western Punjabi.docx	Form
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
Form	OSHA-7	OSHA Form 7 Chinese	OSHA Form 7 Chinese.docx		Yes	Yes	Fillable Fileable
Form	OSHA-7	OSHA Form 7 Eastern Punjabi	OSHA Form 7 Eastern Punjabi.docx		Yes	Yes	Fillable Fileable
Form	OSHA-7	OSHA Form 7 Korean	OSHA Form 7 Korean.docx		Yes	Yes	Fillable Fileable
Form	OSHA-7	OSHA Form 7 Nepali	OSHA Form 7 Nepali.doc		Yes	Yes	Fillable Fileable
Form	OSHA-7	OSHA Form Tagalog	OSHA Form 7 Tagalog.docx		Yes	Yes	Fillable Fileable
Form	OSHA-7	OSHA Form 7 Traditional Chinese	OSHA Form 7 Traditional Chinese.docx		Yes	Yes	Fillable Fileable
Form	OSHA-7	OSHA Form 7 Urdu	OSHA Form 7 Urdu.docx		Yes	Yes	Fillable Fileable
Form	OSHA-7	OSHA Form 7 Vietnamese	OSHA Form 7 Vietnamese.docx		Yes	Yes	Fillable Fileable
Form	OSHA-7	OSHA Form 7 Western Punjami	OSHA Form 7 Western Punjabi.docx		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	Previously Approved
Annual Number of Responses for this IC	50,641	50,641
Annual IC Time Burden (Hours)	13,659	13,659
Annual IC Cost Burden (Dollars)	13,659	13,659

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.