Information Collection

Student Data Form

IC 14106 under ICR 201702-1218-002 · OMB 1218-0172.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0172 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form OSHA-182 Student Data Form	Form and Instruction
Form OSHA-182 Student Data Form 1218-0172_Student_Data_Form_with_Instructions New 8-2016.xml	Form and Instruction

IC Title:

Student Data Form

Agency IC Tracking Number:

1218-0172(2017)

Is this a Common Form? No

IC Status: Modified

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
Form and Instruction	Form OSHA-182	Student Data Form	1218-0172_Student_Data_Form_with_Instructions New 8-2016.xml		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	5,000	2,000	3,000
Annual IC Time Burden (Hours)	400	160	240
Annual IC Cost Burden (Dollars)	0	0	0

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.