OTI Evaluation Form 49 Generic IC

Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:

Documents and Forms

Document Name Document Type
New OSHA Course Evaluation Form 49.docx Other-survey
Supplemental Statement OTI Evaluation Form 49.docx Supplemental Statement OTI Evaluation Form 49 IC Document

Information Collection (IC) Details

IC Title:	OTI Evaluation Form 49 Generic IC	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			New OSHA Course Evaluation Form 49.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supplemental Statement OTI Evaluation Form 49	Supplemental Statement OTI Evaluation Form 49.docx	05/13/2019

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