Information Collection

Formaldehyde Standard (29 CFR 1910.1048)

IC 14087 under ICR 201607-1218-008 · OMB 1218-0145.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0145 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29 CFR 1910.1048 A APPENDIX D TO §1910.1048—NONMANDATORY MEDICAL DISEASE QUESTIONNAIRE Formaldehyde Standard (29 CFR 1910.1048)	Form
29 CFR 1910.1048 A APPENDIX D TO §1910.1048—NONMANDATORY MEDICAL DISEASE QU 1910.1048 Formaldehyde App D.docx	Form
Formaldehyde Appendix D to 1910.1048- Nonmandatory Medical Disease Questionnaire.pdf Appendix D to 1910.1048 (Formaldehyde) - Nonmandatory Medical Disease Questionnaire	IC Document

IC Title:

Formaldehyde Standard (29 CFR 1910.1048)

Agency IC Tracking Number:

1218-0145(2016)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1048

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	29 CFR 1910.1048 Appendix D				Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 84,931

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	904,027	-175	904,202
Annual IC Time Burden (Hours)	237,840	-14	237,854
Annual IC Cost Burden (Dollars)	41,724,296	0	41,724,296

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix D to 1910.1048 (Formaldehyde) - Nonmandatory Medical Disease Questionnaire		08/08/2016

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

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