Information Collection

Respirable Crystalline Silica Standards for General Industry, Shipyard Employment and Maritime Terminals (29 CFR 1910.1053) and Construction (29 CFR 1926.1053)

IC 206939 under ICR 201809-1218-018 · OMB 1218-0266.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0266 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29 CFR 1910.1053 a Respirable Crystalline Silica Standards for General Industry, Shipyard Employment and Maritime Terminals (29 CFR 1910.1053) and Construction (29 CFR 1926.1053)	Form
29 CFR 1910.1053 a Written Medical Opinion for Employee SIP IV Final Rule - Silica Appendix B Sample Form WRITTEN MEDICAL REPORT FOR EMPLOYEE (03.27.19).docx	Form
29 CFR 1910.1053 a Written Medical Opinion for Employer SIP IV Final Rule - Silica Appendix B Sample Form WRITTEN MEDICAL OPINION FOR EMPLOYER (03.27.19).docx	Form
Note to Reviewer Respirable Crystalline Silica Standards for General Industry (09.20.18).docx Note to IC Reviewer	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Respirable Crystalline Silica Standards for General Industry, Shipyard Employment and Maritime Terminals (29 CFR 1910.1053) and Construction (29 CFR 1926.1053)

Agency IC Tracking Number:

1218-0266(2018)SIPIV

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1053 29 CFR 1926.1153 29 CFR 1915.1053

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	29 CFR 1910.1053 and 29 CFR 1153 Appendix B	Written Medical Opinion for Employee	SIP IV Final Rule - Silica Appendix B Sample Form WRITTEN MEDICAL REPORT FOR EMPLOYEE (03.27.19).docx		Yes	No	Printable Only
Form	29 CFR 1910.1053 and 29 CFR 1926.1153 Appendix B	Written Medical Opinion for Employer	SIP IV Final Rule - Silica Appendix B Sample Form WRITTEN MEDICAL OPINION FOR EMPLOYER (03.27.19).docx		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 682,581

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	6,271,812	6,271,812
Annual IC Time Burden (Hours)	12,118,364	12,118,364
Annual IC Cost Burden (Dollars)	393,789,901	393,789,901

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to IC Reviewer	Note to Reviewer Respirable Crystalline Silica Standards for General Industry (09.20.18).docx	09/20/2018

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