Information Collection

OSHA's Alliance Program (Public Sector)

IC 234835 under ICR 201902-1218-001 · OMB 1218-0274.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0274 can be found here:

Documents and Forms

Documents and forms in this information collection
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:

table that charts list of 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 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	399	399
Annual IC Time Burden (Hours)	1,130	1,130
Annual IC Cost Burden (Dollars)	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.