Information Collection

Formaldehyde Standard (1910.1020 and 1910.1048)

IC 14087 under ICR 201611-1218-006 · OMB 1218-0145.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0145 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Appendix D to 1910 Formaldehyde Standard (1910.1020 and 1910.1048)	Form
Appendix D to 1910 Nonmandatory Medical Disease Questionnaire Formaldehyde Appendix D with Burden Box.docx	Form

IC Title:

Formaldehyde Standard (1910.1020 and 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 1910.1020 29 CFR 1910.1048

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	Appendix D to 1910.1048	Nonmandatory Medical Disease Questionnaire	Formaldehyde Appendix D with Burden Box.docx		No		Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 86,320

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	906,101	1,899	904,202
Annual IC Time Burden (Hours)	238,435	581	237,854
Annual IC Cost Burden (Dollars)	43,560,060	1,835,764	41,724,296

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.