Information Collection

Asbestos in General Industry (29 CFR 1910.1001)

IC 14073 under ICR 201611-1218-005 · OMB 1218-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0133 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Asbestons in Gener Asbestos in General Industry (29 CFR 1910.1001)	Form and Instruction
Asbestons in Gener Appendix D to 1910.1001 -- Medical Questionnaires; Manda Asbestos in General Industry Appendix D Mandatory Medical Questionnaires (12-05-16).pdf	Form and Instruction

IC Title:

Asbestos in General Industry (29 CFR 1910.1001)

Agency IC Tracking Number:

1218-0133(2016)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1001

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	Asbestons in General Industry Standard: Appendix D	Appendix D to 1910.1001 -- Medical Questionnaires; Mandatory	Asbestos in General Industry Appendix D Mandatory Medical Questionnaires (12-05-16).pdf		No		Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 121

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
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	32,173	0	-80	32,253
Annual IC Time Burden (Hours)	11,688	0	-6	11,694
Annual IC Cost Burden (Dollars)	963,650	38,624	0	925,026

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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