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OSHA's Alliance Program (Public Sector)
Occupational Safety and Health Administration Alliance Program
OMB: 1218-0274
IC ID: 234835
OMB.report
DOL/OSHA
OMB 1218-0274
ICR 201902-1218-001
IC 234835
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0274 can be found here:
2023-02-15 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form OSHA 12-10.6
OSHA's Alliance Program (Public Sector)
Form
OSHA 12-10.1a National Alliance Agreement Template
National Alliance Agreement (2-20-19) cover sheet.doc
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.1b National Alliance Renewal Agreement Template
National Alliance Renewal Agreement (2-20-19) cover sheet.doc
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.2a Regional Area Office Alliance Agreement Template
Regional_Area Office Agreement (2-20-19) cover sheet.doc
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.2b Regional Area Office Alliance Renewal Agreement Template
Regional_Area Office Renewal (2-20-19) cover sheet.doc
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.7 Biannual Alliance Data Reporting Form
Biannual Alliance Data Reporting Form (2-22-19).docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.3 National Alliance Agreement Template
National Alliance Agreement (2-20-19) cover sheet.doc
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.4 Regional Alliance Annual Report Template
Regional Alliance Annual Report Template (2-22-19.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.5 Consulate Alliance Template (Mexico)
Consulate Alliance Template - Mexico (2-20-19) cover sheet.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.6 Consulate Alliance Template (Other Countries)
Consulate Alliance Template - Other Countries (2-20-19) cover sheet.doc
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.8 Alliance Feedback Questionnaire
Evaluation Form - 2-22-19.docx
www.osha.gov/dcsp/alliances/template.html
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OSHA's Alliance Program (Public Sector)
Agency IC Tracking Number:
1218-0NEW
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OSHA 12-10.6
Consulate Alliance Template (Other Countries)
Consulate Alliance Template - Other Countries (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.8
Alliance Feedback Questionnaire
Evaluation Form - 2-22-19.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.1b
National Alliance Renewal Agreement Template
National Alliance Renewal Agreement (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.2b
Regional Area Office Alliance Renewal Agreement Template
Regional_Area Office Renewal (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.7
Biannual Alliance Data Reporting Form
Biannual Alliance Data Reporting Form (2-22-19).docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.4
Regional Alliance Annual Report Template
Regional Alliance Annual Report Template (2-22-19.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.5
Consulate Alliance Template (Mexico)
Consulate Alliance Template - Mexico (2-20-19) cover sheet.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.1a
National Alliance Agreement Template
National Alliance Agreement (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.2a
Regional Area Office Alliance Agreement Template
Regional_Area Office Agreement (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.3
National Alliance Agreement Template
National Alliance Agreement (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
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:
20
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
90 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
399
0
0
0
399
0
Annual IC Time Burden (Hours)
1,130
0
0
0
1,130
0
Annual IC Cost Burden (Dollars)
0
0
0
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.