Asbestos in Shipyards (29 CFR 1915.1001)

Asbestos in Shipyards Standard (29 CFR 1915.1001)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0195 can be found here:

Documents and Forms

Document Name Document Type
Form 1915.1001 Appendix Asbestos in Shipyards (29 CFR 1915.1001) Form and Instruction
1915.1001 Appendix Medical Questionnaires 1915.1001 Asbestos in Shipyards - App D Medical Questionnaires.docx Form and Instruction
Asbestos in Shipyards.pdf CFR Mark-up - Asbestos in Shipyards Appendix D Medical Questionnaires IC Document

Information Collection (IC) Details

IC Title:	Asbestos in Shipyards (29 CFR 1915.1001)	Agency IC Tracking Number:	1218-0195(2016)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1915.1001

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1915.1001 Appendix D	Medical Questionnaires	1915.1001 Asbestos in Shipyards - App D Medical Questionnaires.docx		Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 317	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	Previously Approved
Annual Number of Responses for this IC	3,072	3,072
Annual IC Time Burden (Hours)	1,189	1,189
Annual IC Cost Burden (Dollars)	43,003	43,003

Documents for IC

Title	Document	Date Uploaded
CFR Mark-up - Asbestos in Shipyards Appendix D Medical Questionnaires	Asbestos in Shipyards.pdf	08/08/2016

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