Information Collection

Grantee Quarterly Progress Report

IC 14018 under ICR 201708-1218-003 · OMB 1218-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSHA 171 Grantee Quarterly Progress Report	Form and Instruction
OSHA 171 Grantee Quarterly Progress Report OSHA Form 171 Narrative Instructions Combined 8.31.14 final.docx	Form and Instruction

IC Title:

Grantee Quarterly Progress Report

Agency IC Tracking Number:

1218-0100(2017)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	OSHA 171	Grantee Quarterly Progress Report	OSHA Form 171 Narrative Instructions Combined 8.31.14 final.docx		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 109

Number of Respondents for Small Entity: 40

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	436	72	364
Annual IC Time Burden (Hours)	6,104	1,008	5,096
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.