1625-0063 SS r0 2016 calc-sheet App-A-to-C

1625-0063_SS_r0_2016_calc-sheet_App-A-to-C.pdf

Marine Occupational Health and Safety Standards for Benzene -- 46 CFR 197 Subpart C

1625-0063 SS r0 2016 calc-sheet App-A-to-C

OMB: 1625-0063

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1625‐0063
Appendix A: Estimated Hour & Cost Burden
Information Collection Category Annual Response
Initial Exposure Monitoring
0.1
Periodic Exposure Monitoring
0.5
Additional Exposure Monitoring
0.1
Notification of Exposure Monitoring Annual Response
Written notification preparation
0.5
Prep, Copy, Distribute
0.5
Written Exposure Reduction Programs Annual Response
Preparation of Written Program
0.1
Type Program
0.1
Written Respiratory Protection Programs Annual Response
Preparation of Written Program
0.09
Type Program
0.09
Fit to Wear Respirator Annual Response
Annual Medical Monitoring ‐ Physician
2
Annual Medical Monitoring ‐ Employee
2
Respirator Fit Testing Records Annual Response
prep, test, record preparation
10
employee time for test
10
Medical Monitoring Annual Response
Exam Cost ‐ Physician Time
12.5
Exam Cost ‐ Employee Time
12.5
Exam Cost ‐ Technician Time
12.5
Outside Lab Costs
12.5
Annual Response
Information for Physicians
12.5
Material Safety Data Sheets
35
Employee Training
16.5

Total Responses Hours Hourly Wage
20
120
$87
100
40
$87
20
40
$87
Total Responses Hours Hourly Wage
100
1
$87
100
3
$39
Totals:
Total Responses Hours Hourly Wage
20
40
$87
20
2
$39
Totals:
Total Responses Hours Hourly Wage
18
24
$87
18
2
$39
Totals:
Total Responses Hours Hourly Wage
400
0.5
$124
400
0.5
$28
Totals:
Total Responses Hours Hourly Wage
2,000
2.67
$35
2,000
2
$28
Totals:
Total Responses Hours Hourly Wage
2,500
1
$124
2,500
4
$28
2,500
1
$35
2,500
‐
$220
Totals:
Total Responses Hours Hourly Wage
2,500
1
$87
7,000
0.25
$39
3,301
0.083
$35
1 of 1

Respondents:
Annual Hour
2,400
4,000
800
Annual Hour
100
300
400
Annual Hour
800
40
840
Annual Hour
432
36
468
Annual Hour
200
200
400
Annual Hour
5,333
4,000
9,333
Annual Hour
2,500
10,000
2,500
‐
15,000
Annual Hour
2,500
1,750
274

200
Annual Cost
$208,800
$348,000
$69,600
Annual Cost
$8,700
$11,700
$20,400
Annual Cost
$69,600
$1,560
$71,160
Annual Cost
$37,584
$1,404
$38,988
Annual Cost
$24,800
$5,600
$30,400
Annual Cost
$186,666.67
$112,000.00
$298,667
Annual Cost
$310,000
$280,000
$87,500
$550,000
$1,227,500
Annual Cost
$217,500
$68,250
$9,590

1625‐0063

Appendix B: Estimated Annual Hour & Cost Burden ‐ Summary
Information Collection Category
Total Responses
Initial Exposure Monitoring
20
Periodic Exposure Monitoring
100
Additional Exposure Monitoring
20
Notification of Exposure Monitoring
200
Written Exposure Reduction Programs
40
Written Respiratory Protection Programs
36
Fit to Wear Respirator
800
Respirator Fit Testing Records
4,000
Medical Monitoring
10,000
Information for Physicians
2,500
Material Safety Data Sheets
7,000
Employee Training
3,301
Totals:
28,017

1 of 1

Hour Burden Cost Burden
2,400
$208,800
4,000
$348,000
800
$69,600
400
$20,400
840
$71,160
468
$38,988
400
$30,400
9,333
$298,667
15,000
$1,227,500
2,500
$217,500
1,750
$68,250
274
$9,590
38,165
$2,608,855
Per Company:
$13,044

1625‐0063
Appendix C:  Estimated Annual Federal Government Cost
Requirement
Benzene record 
reviews

Responses

Hours/ 
Response

Annual 
Hours

Wage 
Rate

Annual 
Cost

1,000

0.08333

84

$81

$6,804

Totals

$6,804

Total Cost Burden
$6,804
*Estimates may not sum due to rounding

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