Grantee Quarterly Progress Report

Occupational Safety and Health Administration Grantee Quarterly Progress Report

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.