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Formaldehyde Standard (29 CFR 1910.1048)
Formaldehyde Standard (29 CFR 1910.1048)
OMB: 1218-0145
IC ID: 14087
OMB.report
DOL/OSHA
OMB 1218-0145
ICR 201607-1218-008
IC 14087
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0145 can be found here:
2023-09-29 - Extension without change of a currently approved collection
2020-04-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 29 CFR 1910.1048 A
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
29 CFR 1910.1048 Appendix D
APPENDIX D TO §1910.1048—NONMANDATORY MEDICAL DISEASE QUESTIONNAIRE
1910.1048 Formaldehyde App D.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
904,027
0
0
-175
0
904,202
Annual IC Time Burden (Hours)
237,840
0
0
-14
0
237,854
Annual IC Cost Burden (Dollars)
41,724,296
0
0
0
0
41,724,296
Documents for IC
Title
Document
Date Uploaded
Appendix D to 1910.1048 (Formaldehyde) - Nonmandatory Medical Disease Questionnaire
Formaldehyde Appendix D to 1910.1048- Nonmandatory Medical Disease Questionnaire.pdf
08/08/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.