Formaldehyde Standard (29 CFR 1910.1020 and 1910.1048)

Forms and Documents

Document Name	Status
Form Appendix D to 1910 Formaldehyde Standard (1910.1020 and 1910.1048) Form	Modified
FED20160801A.pdf Supplementary Document	2016-11-23
29 cfr 1913.10eCFR — Code of Federal Regulations.pdf Supplementary Document	2016-11-23
29 cfr 1910.1020 eCFR — Code of Federal Regulations.pdf Supplementary Document	2016-11-23
29 cfr 1910.1200 eCFR — Code of Federal Regulations.pdf Supplementary Document	2016-11-23
29 cfr 1910.134 eCFR — Code of Federal Regulations.pdf Supplementary Document	2016-11-23
29 CFR 1910.1048 eCFR — Code of Federal Regulations.pdf Supplementary Document	2016-11-23
Final SS_1218-0145 (Formaldehyde)_ 11.09.16clean.doc Supporting Statement A	2016-11-14
OSH Act Section 8 USC 657.pdf Supplementary Document	2013-11-19
OSH Act Section 2 USC 651.pdf Supplementary Document	2013-11-19
OSH Sec.655.pdf Supplementary Document	2007-04-05

IC Document Collections

IC ID	Document Title	Status
14087	Formaldehyde Standard (1910.1020 and 1910.1048) Form	Modified

ICR Details

OMB Control No: 1218-0145	ICR Reference No: 201611-1218-006
Status: Historical Active	Previous ICR Reference No: 201311-1218-001
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0145(2016)
Title: Formaldehyde Standard (29 CFR 1910.1020 and 1910.1048)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/13/2017
	Date Received in OIRA: 02/13/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2020	36 Months From Approved	04/30/2017
Responses	906,101	0	904,202
Time Burden (Hours)	238,435	0	237,854
Cost Burden (Dollars)	43,560,060	0	41,724,296

---

Abstract: The Formaldehyde Standard and its collections of information are designed to provide protection for workers from the adverse health effects associated with occupational exposure to formaldehyde. The Standard requires employers to monitor worker exposure and provide notification to workers of their exposure. Employers are required to make available medical surveillance to workers.

---

Authorizing Statute(s): US Code: 29 USC 657 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 651 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 655 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 50563	08/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 10499	02/13/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Formaldehyde Standard (1910.1020 and 1910.1048)	Appendix D to 1910.1048	Nonmandatory Medical Disease Questionnaire

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	906,101	904,202	0	0	1,899	0
Annual Time Burden (Hours)	238,435	237,854	0	0	581	0
Annual Cost Burden (Dollars)	43,560,060	41,724,296	0	0	1,835,764	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: OSHA is requesting an adjustment increase in the burden hours of these collections of information from 237,854 to 238,435 hours, for a total increase of 581 hours. The increase is due to the overall estimated increase in the number of covered establishments and workers. The costs to conduct a medical examination increased (from $218 to $228) and for contract industrial hygiene services to conduct exposure-monitoring sampling increased (from $50 to $50.25). Total capital costs increased, from $41,724,296 to $43,560,060, an increase of $1,835,764. The increase is due to the estimated increase in the number of covered workers undergoing exposure monitoring and medical exams.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/13/2017

---