Information Collection

OTI Evaluation Form 49 Generic IC

IC 236065 under ICR 201701-1225-001 · OMB 1225-0088.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

OTI Evaluation Form 49 Generic IC

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.