Silica ICR Supporting Spreadsheets 12-30-19

Silica supporting spreadsheets ROCIS 123019 combined.pdf

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

Silica ICR Supporting Spreadsheets 12-30-19

OMB: 1218-0266

Document [pdf]
Download: pdf | pdf
Table 1: Worker Time and Cost ‐ Initial Exposure Assessment 
Cost = Burden Hours* Wage Rate
Hours = (Affected Workers/WPA) * WT
Variables
Affected Workers = Number of workers undergoing exposure assessment
WPA = workers per area
IEA = # of initial exposure assessment samples
WT = hours of worker time
Wage Rate = $ per hour
Table 1 : Worker Time and Cost ‐ Initial Exposure Assessment 

Affected 
Workers [a]
New
General Industry
Construction

                   ‐
                   ‐

Existing
General Industry
Construction

277,949
22,125

Total 

300,074

WPA

IEA [a]

Burden 
Hours 
(rounded) Wage Rate

WT

Item 12 Costs 
(rounded)

4                        ‐
4                        ‐

0.5             ‐
0.5             ‐

$27.46 $                                 ‐
$34.94 $                                 ‐

4
4

0.5
0.5

34,744
2,766

$27.46 $                    954,070
$34.94 $                      96,644

37,510

$                 1,050,714

69,487
5,531
75,018

[a] The number of workers undergoing exposure assessment is calculated differently for general industry and construction. For 
general industry, the number of affected workers is the number or workers at or above the action level. For the construction 
industry, the FEA assumes that 10 percent of at‐risk construction workers will undergo initial exposure assessment.

Table 2: Contract Costs for Industrial Hygienist and Laboratory to Conduct Analysis ‐ Initial Exposure Assessment
IHPBZ Cost = (GWIML + CWIM)/WPA * IHPBZ
Direct Cost = (GWIM + CWIM)/WPA * LABSHP
Total Cost = IHPBZ Cost + Direct Cost
Variables
GWIM = # of workers affected workers in general industry/maritime undergoing initital monitoring
CWIM = # of workers affected workers in general industry/maritime undergoing initital monitoring
WPA = workers per area
IHPBZ = direct cost per sample including outside contractor industrial hygienist (IH) fees and PBZ 
LABSHP = direct cost per sample for lab fees and shipping 

Table 2: Contract Costs for Industrial Hygienist and Laboratory to Conduct Analysis ‐ Initial Exposure Assessment
IHPBZ Costs 
(Total
EA Samples x
Total EA
IHPBZ) 
Samples
Workers 
(rounded)
(rounded)
IHPBZ
GIWIM
CWIM
Total
per Area
Small
82,499
7,659
90,158
4         22,539
$1,250.00
$28,173,750
Medium
176,401
12,627
189,029
4         47,257
$416.67
$19,690,574
Large
19,049
1,839
20,887
4           5,222
$312.50
$1,631,875
Total
277,949
22,125
300,074
75,018
$49,496,199

LABSHP
$140.27
$140.27
$140.27

Direct Costs per 
Sample
$3,161,546
$6,628,739
$732,490
$10,522,775

Total Costs
(IHPBZ +
LABSHP)
$31,335,296
$26,319,313
$2,364,365
$60,018,974

Table 3: Worker Time and Cost ‐ Periodic and Additional Exposure Assessment
Hours = ((GIW>=AL ‐ GIW>PEL) / WPA * AAEA) *AEAF * WT)
Hours = ((GIW>PEL / WPA) * AAEA * AEAF * WT)
Hours = (CW>AL=AL =# of workers at or above action level in general industry/maritime
GIW>PEL = # of respirator users above PEL in general industry/maritime
Semi‐Annual Sampling = # of workers in construction that undergo semi‐annual sampling
Quarterly Sampling = # of workers in construction that undergo quarterly sampling
WPA = workers per area
AAEA = # of annual exposure assessments per year
PEA = # of periodic exposure assessments
AEA = # of additional exposure assessments
AEAF = 1.15 additional exposure assessment factor (1 +.25)
PAEA = # of periodic and additional assessments; (PEA + AEA)
WT = hours of worker's time
Wage Rate = $ per hour
Table 3:  Worker Time and Cost ‐ Periodic and Additional Exposure Assessment

Affected 
Workers

Workers per 
Area

No. of Exposure 
Assessments 
(EA) [a]

AAEA

PEA

AEAF

AEA (PAEA ‐
AEAF)

PAEA (PEA * 
AEAF)

Hours of 
Worker's 
Time

Burden Hours

Wage Rate

Item 12 Costs 
(rounded)

General Industry
(GIW>=AL ‐ GIW>PEL)
GIW > PEL
Subtotal

110,388
31,206
141,594

4
4

27,597
7,802
35,399

2           55,194
4           31,208
    86,402.00

1.25
1.25

13,799
7,802
21,601

68,993
39,010
108,003

0.5
0.5

34,497
19,505
54,002

$27.46
$27.46

$947,288
$535,607
$1,482,895

Construction
Semi‐Annual Sampling
Quarterly Sampling
Subtotal

383
12,099
12,482

4
4

96
3,025
3,121

2                191
4           12,099
         12,291

1.25
1.25

47.61
3,024.65
3,072.26

239
15,124
15,363

0.5
0.5

120
7,562
7,682

$34.94
$34.94

$4,193
$264,216
$268,409

 
Total 

       154,076

4

         98,693                 ‐

24,673.26

123,366                 ‐

61,684                                ‐

$1,751,304

[a] The FEA assumes that construction workers in compliance with initial monitoring (Table 1) will not undergo periodic monitoring. Periodic monitoring only applies to abrasive blasters and tunnel worker in the
construction industry.

Table 4: Contract Costs for Industrial Hygienist and Laboratory To Perform Assessment ‐ Periodic and Additional Exposure Assessment
Cost = ( GIW>AL ‐ GIW>PEL / WPA * AEA * AEAF * IHPBZ * LABSHIP)
Cost = (GIW>PEL / WPA * AEA * AEAF * IHPBZ * LABSHIP)
Cost = (CW>ALAL ‐ HFW>PEL / WPA * AEA * AEAF * IHPBZ * LABSHIP)
Cost = (HFW>PEL / WPA * AEA * AEAF * IHPBZ * LABSHIP)
Variables
GIW>AL = # of workers at or above the action level in general industry/maritime
GIW>PEL = # of respirator users (above PEL) in general industry/maritime
CW>AL =  # of workers at or above the action level in construction
CW>PEL = # of respirator users (above PEL) in construction
HFW>AL = # of workers at or above the action level in hydraulic fracturing
HFW>PEL = # of respirator users (above PEL) in hydraulic fracturing
WPA = workers per area
AAEA = # of annual exposure assessments
AEAF = 1.25 additional exposure assessment factor (1 +.25)
IHPBZ = direct cost per sample including outside contractor industrial hygienist (IH) fees and PBZ
LABSHP = direct cost per sample for lab fees and shipping 

Table 4: Contract Costs for Industrial Hygienist and Laboratory To Perform Assessment ‐ Periodic and Additional Exposure Assessment
No. of 
Exposure 
Assesssmen
Total EA 
Worker 
ts (EA) 
Total Periodic 
Samples 
per Area (rounded)
AAEA
EA
AEAF
(rounded)
Workers

IHPBZ

IHPBZ Costs 
(rounded)

LABSHP

LABSHP Costs 
(Total EA 
Samples x 
LABSHP) 
(rounded)

General Industry
General Industry (excluding hydraulic fracturing) Above AL and Below PEL = (GIW> AL ‐ GIW>PEL)
GIW> AL ‐ 
GIW>PEL
GI > AL
GI > PEL
Small
36,526
5,409
31,117
4
7,779
67,812
4
16,953
Medium
81,149 13,338
Large
10,100
1,252
8,848
4
2,212
Sub‐total
127,776
19,998
107,777
26,944
General Industry (excluding hydraulic fracturing) Above PEL (GIW>PEL)
Small
N/A
5,409
4
1,352
Medium
N/A
13,338
4
3,334

2
2
2

15,558
33,906
4,424
53,888

1.25
1.25
1.25
1.25

19,448
42,383
5,530
67,361

$625.00 $       12,155,000 $                  ‐
$208.33 $         8,829,792 $                  ‐
$156.25 $            864,063 $                  ‐
$       21,848,855

$                        ‐
$                        ‐
$                        ‐
$                        ‐

4
4

5,408
13,336

1.25
1.25

6,760
16,670

$625.00 $         4,225,000 $                  ‐ $                        ‐
$208.33 $         3,472,917 $                  ‐ $                        ‐

Large
N/A
1,252
4
313
Sub‐total
19,998
4,999
Hydraulic Fracturing Above AL and Below PEL = (HFW> AL ‐ HFW>PEL)
HFW> AL ‐ 
HFW > AL HFW > PEL HFW>PEL

4

1,252
19,996

1.25
1.25

1,565
24,995

$156.25 $            244,531 $                  ‐ $                        ‐
$         7,942,448
$                        ‐

Small
1,060
860
200
2,411
Medium
12,758 10,347
Large                 ‐                ‐                        ‐
Sub‐total
13,819
11,207
2,611
Hydraulic Fracturing Above PEL (HFW>PEL)
Small
N/A
860
Medium
N/A
10,347
Large
N/A
0
Sub‐total
11,207
General Industry ‐ Total
Construction Industry

4
50
4
603
4                   ‐
653

2
100
2
1,206
2                            ‐
1,306

1.25
125
1.25
1,508
1.25                   ‐
1.25
1,633

$1,250.00 $            156,250 $             140
$416.67 $            628,338 $             140
$312.50 $                         ‐ $             140
$            784,588

$              17,534
$           211,527
$                        ‐
$           229,061

4
215
4
2,587
4                   ‐
2,802

4
860
4
10,348
4                            ‐
11,208

1.25
1,075
1.25
12,935
1.25                   ‐
1.25
14,010

$1,250.00 $         1,343,750 $             140
$416.67 $         5,389,626 $             140
$312.50 $                         ‐ $             140
$         6,733,376
$       37,309,267

$           150,790
$        1,814,392
$                        ‐
$        1,965,182
$        2,194,243

4
4
4

15
70
11
96

2
2
2

30
140
22
192

1.25
1.25
1.25
1.25

38
175
28
241

$1,250.00
$416.67
$312.50

$47,500
$72,917
$8,750
$129,167

$140.27 $                5,330
$140.27 $              24,547
$140.27 $                3,928
$             33,805

4
4
4

1,428
1,464
133
3,025

4
4
4

5,712
5,856
532
12,100

1.25
1.25
1.25

7,140
7,320
665
15,125

$1,250.00
$416.67
$312.50

$8,925,000
$3,050,024
$207,813
$12,182,837
$12,312,004
$49,621,271

$140.27 $        1,001,528
$140.27 $        1,026,776
$140.27 $              93,280
$        2,121,584
$        2,155,389
$        4,349,632

Construction Industry Undergoing Semi‐Annual Sampling
Affected 
Workers
Small
Medium
Large
Sub‐total

59
279
45
383

Construction Industry Undergoing Quarterly Sampling
Affected 
Workers
Small
Medium
Large
Sub‐total
Construction ‐ Total
Total
141,594

5,712
5,856
531
12,099
62,411

122,871

38,519

98,690

123,365

Table 5: Human Resources Manager Time to Notify Workers of Exposure Assessment Results
Cost = Burden Hours* Wage Rate
Hours = (IEA + PAEA) * HRT
Variables
IEA = # of initial exposure assessments
PAEA = # of periodic and additional exposure assessments
EA = total number of exposure assessments
HRT = hours of human resources manager time to prepare notification of monitoring results
Wage Rate = $ per hour
Table 5: Human Resources Manager Time to Notify Workers of Exposure Assessment Results

IEA
General Industry
Construction
Total

PAEA

69,487        108,003
5,531           15,363
75,018
123,366

EA 
(IEA + PAEA)
177,490
20,894
198,384

Burden 
Hours 
(rounded)

HRT
0.25
0.25

44,373
5,224
49,597

Wage Rate
$88.79
$88.79

Item 12 Cost 
(rounded)
$3,939,879
$463,839
$4,403,718

Table 8a ‐ Supervisor Burden Hours and Costs to Make Written Exposure Control Plan Available to Employees and Designated Representatives
Cost = Burden Hours* Wage Rate
Hours = ((Number of Affected Workers Exposed to Silica >= AL *10%) * ST )
Table 8a Supervisor Time and Cost, Make Written Exposure Control Plan Available 
Between Action Level 
Action Level (> 25 
Above PEL (> 50 
and PEL (> 25 and < 
ug/m3)
ug/m3)
50 ug/m3)
General Industry
37,586
31,318
6,269
426,585
327,213
Construction
99,372
Total

Number of Affected 
Workers Exposed to 
Silica > =AL
10% estimate
152,263
15,226
1,096,986
109,699
1,249,249
124,925

ST
0.08
0.08

Burden 
Hours
1,218
8,776
9,994

Item  Cost 
Wage Rate
(rounded)
$45.09 $              54,920
$49.43 $            433,798
$            488,718

Table 9: Administrative Burden Arising from Creating and Submitting the Air Quality Permit Notification 
in Case of Engineering Control Modifications
Burden Hours = Affected ESTB * HRT
Cost = Burden Hours* Wage Rate
Variables
Affected ESTB = Establishments with engineering controls covered by air permits
HRT = hours human resources manager time
Wage Rate = $ per hour

Table 9: Administrative burden arising from creating and submitting the air quality permit notification in case of 
engineering control modifications
Affected ESTB 
Item 12 Cost 
(rounded)
HRT
Burden Hours
Wage Rate
(rounded)
General Industry 
Small/Medium (20 to 499)
Large (>500)
Total

15,960
575
16,535.00

20
40

319,200
23,000
342,200

$88.79 $     28,341,768
$88.79 $       2,042,170
$    30,383,938

Table 10: Human Resources Manager Time and Cost to Establish and Revise Respiratory Protection Plan ‐ General Industry
Cost = Burden Hours* Wage Rate
Establish Program Hours = ESTB * PERCOMP * HRT
Revise Program Hours = ESTB * PERCOMP * UPDAT * HRT
Variables
ESTB = # of establishments with respirator users 
PERCOMP = percentage of establishments without programs in compliance (50 %)
HRT = hours human resources manager time
UPDAT = percentage of establishments updating program after first year (20%)
Wage Rate = $ per hour
Table 10: Human Resources Manager Time and Cost to Establish and Revise Respiratory Protection Plan ‐ General Industry
New Programs
ESTB
> 500 workers
209
< 500 workers
6,038
Total
6,247
Revise Program (After first year)

ESTB
> 500 workers
< 500 workers
Total

209
6,038
6,247

PERCOMP
50%
50%

PERCOMP
50%
50%

Programs

HRT

Burden Hours

105
3,019
3,124

UPDAT
20%
20%

8
4

Programs 
(rounded)
21
604
625

840
12,076
12,916

HRT

Wage Rate

 
$88.79 $                                        74,584
$88.79 $                                  1,072,228
$                                  1,146,812

Burden Hours
4
2

Item 12 Cost (rounded)

84
1,208
1,292

Wage Rate

Item 12 Cost 
(rounded)

$88.79 $            7,458
$88.79 $        107,258
$        114,716

Table 10a: Human Resources Manager Time and Cost to Establish and Revise Respiratory Protection Plan ‐ Hydraulic Fracturing
Cost = Burden Hours* Wage Rate
Establish Program Hours = ESTB * PERCOMP * HRT
Revise Program Hours = ESTB * PERCOMP * UPDAT * HRT
Variables
ESTB = # of establishments with respirator users 
Program Costs, HF_Respirators, Respirator Unit Costs)
PERCOMP = percentage of establishments without programs in compliance
HRT = hours human resources manager time
UPDAT = percentage of establishments updating program after first year (20%)
Wage Rate = $ per hour
Table 10a: Human Resources Manager Time and Cost to Establish and Revise Respiratory Protection Plan ‐ Hydraulic Fracturing
New Programs

ESTB
Large (500+)
                       ‐
Medium (20‐499)
              2,587
Small (<20)
                  430
Total
3,017
Revise Program (After first year)

ESTB
Large (500+)
Medium (20‐499)
Small (<20)
Total

                       ‐
              2,587
                  430
3,017

PERCOMP

Programs

HRT

5%                        ‐
20.0%                   517
30%                   129
646

PERCOMP
5%
20%
30%

UPDAT

Burden Hours
8                        ‐
4               2,070
4                   516
2,586

Programs 
(rounded)

20%                        ‐
20%                   103
20%                     26
129

HRT

Wage Rate
$88.79
$88.79
$88.79

Burden Hours
4                        ‐
2                   206
2                     52
258

Item 12 Cost (rounded)
$                                                 ‐ 
$                                    183,795
$                                      45,816
 
$                                    229,611

Wage Rate

Item 12 Cost 
(rounded)

$88.79 $                     ‐
$88.79 $          18,291
$88.79 $            4,617
$          22,908

Table 11: Human Resources Manger Time and Cost to Establish and Revise Respiratory Protection Plan ‐ Construction
Cost = Burden Hours* Wage Rate
Establish Program Hours = ESTB * PERCOMP * HRT
Revise Program Hours = ESTB * PERCOMP * UPDAT * HRT
Variables
ESTB = # of establishments with respirator users 
HRT = hours human resources manager time
PERCOMP = percentage of establishments without programs in compliance (44 %)
UPDAT = percentage of establishments updating program after first year (20%)
Wage Rate = $ per hour
Table 11: Human Resources Manger Time and Cost to Establish and Revise Respiratory Protection Plan ‐ Construction
Programs 
ESTB
PERCOMP
(rounded)
HRT
Burden Hours
Wage Rate
>500 workers
3,994
44%
1,757
8
14,056
$88.79
<500 workers
82,993
44%
36,517
4
146,068
$88.79
Total
86,987
38,274
160,124
Combined Totals (w/GI and HF) 
96,251
42,044
175,626
Revise Program (After first year)
Programs 
ESTB
PERCOMP
UPDAT
(rounded)
HRT
Burden hours
3,994
44%
1,404
>500 workers
20%
351
4
82,993
44%
7,303
14,606
<500 workers
20%
2
Total
86,987
7,654
16,010
Combined Totals (w/GI and HF) 
8,408
17,560

Item 12 Cost (rounded)
$                                          1,248,032
$                                        12,969,378
$                                        14,217,410
$                                        15,593,833

Wage Rate
Item 12 Cost
$88.79 $            124,661
$88.79 $         1,296,867
$         1,421,528
$         1,559,152

Table 12: Supervisor and Worker Time and Cost to Complete Qualitative Fit‐Testing
Cost = Burden Hours* Wage Rate
Hours = (RU * PERCOMP * WT)
Hours = (RU * PERCOMP * ST)
Variables
RU = # of respirator users
PERCOMP = percentage establishments without programs in compliance
WT = hours of worker time
ST = hours of supervisor time
Wage Rate = $ per hour
Table 12: Supervisor and Worker Time and Cost to Complete Qualitative Fit‐Testing
Burden 
Responses 
Hours 
Item 12 Costs 
RU
PERCOMP (rounded)
WT/ST (rounded) Wage Rate
(rounded)
General Industry 
31,206
100%
31,206
Worker
1
31,206
$27.46 $                  856,917
31,206
100%
31,206
Supervisor
0.25
7,802
$45.09 $                  351,792
62,412
62,412
39,008
 $             1,208,709 
Sub‐Total
Construction
Worker
Supervisor
Sub‐Total

264,761
264,761
529,523

Total 
Number of Fit‐Tests

591,935
295,967

100%
100%

264,761
264,761
529,522
591,934

1
0.25

264,761
66,190
330,951

$34.94 $              9,250,749
$49.43 $              3,271,772
 $           12,522,521 

369,959

$            13,731,230

Table 13: Medical Surveillance, Worker Time and Cost to Complete Initial Medical Examination, Existing Workers
Cost = Burden Hours* Wage Rate
Hours = Affected Workers * PERHSCR * (EXAM + TRVL)
Table 13
Affected Workers = Number of Workers undergoing medical surveillance
PERHSCR = percentage of medical examinations (on‐site or off‐site)
INIT‐EXST = # of existing workers completing initial medical examination
EXAM = hours of worker time to complete initial medical examination (2 hours), including:
complete occupational health history survey, including medical questionnaire for respirator use
physical examination by knowledgeable HCP, including follow‐up evaluation for respirator use, if needed
chest x‐ray
pulmonary function test
dermal TB test
other necessary tests
TRVL = hours of worker travel time to off‐site location
Wage Rate = $ per hour

Table 13: Medical Surveillance, Worker Time and Cost to Complete Initial Medical Examination, Existing Workers
Affected 
INIT‐EXST 
Burden Hours 
Workers [a]
PERHSCR
(rounded)
EXAM
TRVL
(rounded)
General Industry
(On‐site)
Small 
Medium
Large

37,586
93,908
10,100
141,594

20%
75%
100%

7,517
70,431
10,100
88,048

1.75                            ‐
1.75                            ‐
1.75                            ‐

13,155
123,254
17,675
154,084

37,586
93,908

80%
25%

30,069
23,477

1.75                           1              82,690
1.75                           1              64,562

Wage Rate

Item 12 Cost (rounded)

$27.46 $                                  361,236
$27.46 $                              3,384,555
$27.46 $                                  485,356
$                              4,231,147

(Off‐site)
Small 
Medium

$27.46 $                              2,270,667
$27.46 $                              1,772,873

Large

10,100
141,594

0%                            ‐
53,546

1.75                           1                         ‐
147,252

$27.46 $                                                ‐
$                              4,043,540

141,594

301,336

$                              8,274,687

18,800
114,283
24,205
157,288

1.75                            ‐              32,900
1.75                            ‐            199,995
1.75                            ‐              42,359
           275,254

$34.94 $                              1,149,526
$34.94 $                              6,987,825
$34.94 $                              1,480,023
$                              9,617,374

1.75
1.75
1.75

1.5            244,397
1.5            123,806
1.5                         ‐
368,203

$34.94 $                              8,539,231
$34.94 $                              4,325,782
$34.94 $                                                ‐
$                            12,865,013

643,457

$                            22,482,387

Subtotal 
Construction
(On‐site)
Small 
Medium
Large

93,999
152,377
24,205
270,581

20%
75%
100%

(Off‐site)
Small 
Medium
Large

Subtotal

93,999
152,377
24,205
270,581

80%
75,199
25%
38,094
0%                            ‐
113,293
270,581

Total ‐‐>
412,175
944,793
$                            30,757,074
[a] Number of Workers undergoing medical surveillance is based on different values for general industry and construction. General industry workers is based on workers 
with an action level greater than 25, and the number of workers in the construction industry is based on the number of respirator users.

Table 13(a):  Worker Time and Cost for the Initial Medical Examination Forms ‐ Existing Workers
Cost = Burden Hours* Wage Rate
Hours = Affected Workers * PERHSCR * (EXAM + TRVL)
Table 13
Affected Workers = Number of Workers undergoing medical surveillance
PERHSCR = percentage of medical examinations (on‐site or off‐site)
INIT‐EXST = # of existing workers completing initial medical examination
Wage Rate = $ per hour
Form Completion (FC) = Employee wait time for forms to be completed during medical surveillance exam activities (15 mins). 
Table 13(a):  Worker Time and Cost for the Initial Medical Examination Forms ‐ Existing Workers
Affected 
Workers [a]
General Industry
(On‐site)
Small 
Medium
Large

37,586
93,908
10,100
141,594

PERHSCR

20%
75%
100%

INIT‐EXST 
(rounded)

7,517
70,431
10,100
88,048

Form 
Burden Hours 
Completion (FC) (rounded)

0.25
0.25
0.25

Wage Rate

Item 12 Cost 
(rounded)

1,879
17,608
2,525
22,012

$27.46 $                         51,597
$27.46 $                       483,516
$27.46 $                         69,337
$                       604,450

80%
30,069
25%
23,477
0%                            ‐
53,546

0.25
7,517
0.25
5,869
0.25                         ‐
13,386

$27.46 $                       206,417
$27.46 $                       161,163
$27.46 $                                    ‐
$                       367,580

141,594

35,398

$                      972,030

4,700

$34.94 $                       164,218

(Off‐site)
Small 
Medium
Large

37,586
93,908
10,100
141,594

Subtotal 
Construction
(On‐site)
Small 

93,999

20%

18,800

0.25

Medium
Large

152,377
24,205
270,581

75%
100%

114,283
24,205
157,288

0.25
0.25

28,571
6,051
39,322

$34.94 $                       998,271
$34.94 $                       211,422
$                   1,373,911

80%
75,199
25%
38,094
0%                            ‐
113,293

0.25
18,800
0.25
9,524
0.25                         ‐
28,324

$34.94 $                       656,872
$34.94 $                       332,769
$34.94 $                                    ‐
$                       989,641

270,581

67,646

$                   2,363,552

(Off‐site)
Small 
Medium
Large

Subtotal

93,999
152,377
24,205
270,581

Total ‐‐>
412,175
103,044
$                   3,335,582
[a] Number of Workers undergoing medical surveillance is based on different values for general industry and construction. General industry 
workers is based on workers with an action level greater than 25, and the number of workers in the construction industry is based on the 

Table 14 ‐ Medical Surveillance, Worker Time and Cost for Complete Initial Medical Examination, New Workers
Cost = Burden Hours* Wage Rate
Hours = (Affected Workers * SEP * PERNEW) * (PERHSCR * (EXAM + TRVL))
Variables
Affected Workers = Number of Workers undergoing medical surveillance
SEP = separations rate (layoffs, quits and retirements )
PERNEW = percentage of new workers requiring initial medical examination
PERHSCR = percentage of medical examinations (onsite or offsite)
INIT‐NEW = # of new workers completing initial medical examination
EXAM = hours of worker time to complete initial medical examination (2 hours), including:
complete occupational health history survey, including medical questionnaire for respirator use
 physical examination by knowledgeable HCP, including follow‐up evaluation for respirator use, if needed
 chest x‐ray
 pulmonary function test
 dermal TB test
 other necessary tests
TRVL = hours of worker travel time to off‐site location
Wage Rate = $ per hour

Table 14 ‐ Medical Surveillance, Worker Time and Cost for Complete Initial Medical Examination, New Workers
Workers*SEP*P
Affected 
ERNEW  
INIT‐NEW 
Workers [a]
SEP
PERNEW
(rounded)
PERHSCR (rounded)
EXAM
TRVL
General Industry
(On‐site)
Small 
Medium
Large

Burden 
Hours 
(rounded) Wage Rate

Item 12 Cost 
(rounded)

37,586
93,908
10,100
141,594

25%
25%
25%

75%
75%
75%

7,047
17,608
1,894

10%
50%
90%

705
8,804
1,704
11,213

1.75                   ‐
1.75                   ‐
1.75                   ‐

1,234
15,407
2,982
19,623

$27.46 $              33,886
$27.46 $           423,076
$27.46 $              81,886
$           538,848

37,586
93,908
10,100
141,594

25%
25%
25%

75%
75%
75%

7,047
17,608
1,894

90%
50%
10%

6,343
8,804
189
15,336

1.75
1.75
1.75

17,443
24,211
520
42,174

$27.46 $           478,985
$27.46 $           664,834
$27.46 $              14,279
$        1,158,098

61,797

$        1,696,946

4,625
37,492
10,721
52,838

$34.94 $           161,598
$34.94 $        1,309,970
$34.94 $           374,592
$        1,846,160

77,314
69,628
2,213
149,155

$34.94 $        2,701,351
$34.94 $        2,432,802
$34.94 $              77,322
$        5,211,475

76,087

201,993

$        7,057,635

Total

102,636

263,790

$        8,754,581

Current and New Combined

514,811

1,609,186

$      52,299,723

(Off‐site)
Small 
Medium
Large

Subtotal General Industry ‐‐>
Construction
(On‐site)
Small 
Medium
Large

(Off‐site)
Small 
Medium
Large

1
1
1

26,549

93,999
152,377
24,205
270,581

70%
70%
70%

40%
40%
40%

26,433
42,848
6,807

10%
50%
90%

2,643
21,424
6,126
30,193

1.75                   ‐
1.75                   ‐
1.75                   ‐

93,999
152,377
24,205
270,581

70%
70%
70%

40%
40%
40%

26,433
42,848
6,807

90%
50%
10%

23,789
21,424
681
45,894

1.75
1.75
1.75

Subtotal Construction ‐‐>

1.5
1.5
1.5

[a] Number of Workers undergoing medical surveillance is based on different values for general industry and construction. General industry workers is based on 
workers with an action level greater than 25, and the number of workers in the construction industry is based on the number of respirator users.

Table 14(a) ‐ Worker Time and Cost for the Initial Medical Examination Forms ‐ New Workers
Cost = Burden Hours* Wage Rate
Hours = (Affected Workers * SEP * PERNEW) * (PERHSCR * (EXAM + TRVL))
Variables
Affected Workers = Number of Workers undergoing medical surveillance
SEP = separations rate (layoffs, quits and retirements )
PERNEW = percentage of new workers requiring initial medical examination
PERHSCR = percentage of medical examinations (onsite or offsite)
INIT‐NEW = # of new workers completing initial medical examination
Wage Rate = $ per hour
Form Time = Employee wait time for forms to be completed during medical surveillance exam activities (15 mins). 
Table 14(a) ‐ Worker Time and Cost for the Initial Medical Examination Forms ‐ New Workers
Workers*SEP*
Affected 
PERNEW  
INIT‐NEW 
Workers [a]
SEP
PERNEW
(rounded)
PERHSCR (rounded)
General Industry
(On‐site)
Small 
Medium
Large
(Off‐site)
Small 
Medium
Large

Burden 
Hours 
(rounded) Wage Rate

Item 12 Cost 
(rounded)

37,586
93,908
10,100
141,594

25%
25%
25%

75%
75%
75%

7,047
17,608
1,894

10%
50%
90%

705
8,804
1,704
11,213

0.25
0.25
0.25

176
2,201
426
2,803

$27.46 $               4,833
$27.46 $             60,439
$27.46 $             11,698
$             76,970

37,586
93,908
10,100
141,594

25%
25%
25%

75%
75%
75%

7,047
17,608
1,894

90%
50%
10%

6,343
8,804
189
15,336

0.25
0.25
0.25

1,586
2,201
47
3,834

$27.46 $             43,552
$27.46 $             60,439
$27.46 $               1,291
$           105,282

6,637

$           182,252

26,549

Subtotal General Industry ‐‐>
Construction
(On‐site)
Small 
Medium
Large

Form 
Completion 
(FC) 

93,999
152,377
24,205
270,581

70%
70%
70%

40%
40%
40%

26,433
42,848
6,807

10%
50%
90%

2,643
21,424
6,126
30,193

0.25
0.25
0.25

661
5,356
1,532
7,549

$34.94 $             23,095
$34.94 $           187,139
$34.94 $             53,528
$           263,762

93,999
152,377
24,205
270,581

70%
70%
70%

40%
40%
40%

26,433
42,848
6,807

90%
50%
10%

23,789
21,424
681
45,894

0.25
0.25
0.25

5,947
5,356
170
11,473

$34.94 $           207,788
$34.94 $           187,139
$34.94 $               5,940
$           400,867

76,087

19,022

$           664,629

Total

102,636

25,659

$           846,881

Current and New Combined

514,811

1,609,186

$     52,299,723

(Off‐site)
Small 
Medium
Large

Subtotal Construction ‐‐>

[a] Number of Workers undergoing medical surveillance is based on different values for general industry and construction. General industry workers is 
based on workers with an action level greater than 25, and the number of workers in the construction industry is based on the number of respirator users.

Table 15 ‐ Medical Surveillance, Initial Medical Examination Costs
Cost = (INIT‐EXST + INIT‐NEW) * COST
Variables
INIT‐NEW = new workers completing initial medical examination
INIT‐EXST = existing workers completing initial medical examination
COST = total direct costs for initial medical examination ($406.57), including:
‐ Complete occupational health history survey ‐ $36.94
‐ Physical examination by knowledgeable HCP ‐$110.83: includes physician’s  time to be made aware 
of Appendix B/sample forms by employer, use sample forms, develop written medical report for 
employee and convey report findings to employee.
‐ Chest‐xray classified by a NIOSH‐certified B Reader ‐ $131.68
‐ Pulmonary function test ‐ $60.62
‐ Other necessary tests ‐ $66.5
Form Completion (FC) Time = Employee wait time for "completion of form" during medical 
surveillance exam activities (15 mins). 
Table 15 ‐ Medical Surveillance, Initial Medical Examination Costs

INIT‐EXST + INIT‐NEW
Existing Workers
New Workers
Total

412,175
102,636

Item 13 Costs 
(rounded)

COST
$362.48
$367.24

$149,404,369
$37,692,059
$          187,096,428

Table 15(a) ‐ Medical Surveillance, Initial Medical Examination Costs (Adjusted for Medical Surveillance Form 
Completion Time )
Cost = (INIT‐EXST + INIT‐NEW) * COST
Variables
INIT‐NEW = new workers completing initial medical examination
INIT‐EXST = existing workers completing initial medical examination
COST = total direct costs for initial medical examination ($406.57), including:
‐ Complete occupational health history survey ‐ $36.94
‐ Physical examination by knowledgeable HCP ‐$110.83: includes physician’s  time to be made aware of Appendix 
B/sample forms by employer, use sample forms, develop written medical report for employee and convey report 
findings to employee.
‐ Chest‐xray classified by a NIOSH‐certified B Reader ‐ $131.68
‐ Pulmonary function test ‐ $60.62
‐ Other necessary tests ‐ $66.5
Table 15(a) ‐ Medical Surveillance, Initial Medical Examination Costs (Adjusted for Medical Surveillance Form 
Completion Time)
Ratio of "Form 
Form Completion (FC)  Completion" to 
Item 13 Costs 
Cost
INIT‐EXST + INIT‐NEW
Exam Cost 
(rounded)
Existing Workers
New Workers
Total

412,175
102,636

$44.09
$39.33

11% $          18,173,720
10% $             4,036,659
$          22,210,379

Table 16 ‐ Worker Time and Cost for Return Reading of TB Test During Initial Medical Examination, Existing Workers
Cost = Burden Hours* Wage Rate
Hours = (INIT‐EXST * (READ+TRVL))
Variables 
INIT‐EXST = # of existing workers completing initial medical examination
READ = hours of worker time for return reading (5 minutes (0.0833333333333333 hours)
*Note: Worker time to complete initial dermal TB test is included in the cost for initial medical 
examinations.
TRVL = hours of worker travel time to off‐site location for return reading (general industry ‐ 1 
hour; construction ‐ 1.5 hours)
Wage Rate = $ per hour
Table 16 ‐ Worker Time and Cost for Return Reading of TB Test During Initial Medical Examination, Existing Workers

INIT‐EXST
General Industry
(On‐site)
Small 
Medium
Large

7,517
70,431
10,100
88,048

READ

TRVL

Burden hours 
(rounded)

Wage Rate

Item 12 Cost 
(rounded)

0.08                               ‐                          626
0.08                               ‐                      5,869
0.08                               ‐                          842
7,337

$27.46 $            17,190
$27.46 $          161,163
$27.46 $            23,121
$         201,474

0.08
0.08
0.08

1                    32,575
1                    25,433
1                               ‐
58,008

$27.46 $          894,510
$27.46 $          698,390
$27.46 $                       ‐
$      1,592,900

141,594

65,345

$      1,794,374

18,800
114,283
24,205
157,288

0.08                               ‐                      1,567
0.08                               ‐                      9,524
0.08                               ‐                      2,017
13,108

$34.94 $            54,751
$34.94 $          332,769
$34.94 $            70,474
$         457,994

0.08
0.08
0.08

1.5                  119,065
1.5                    60,316
1.5                               ‐
179,381

$34.94 $      4,160,131
$34.94 $      2,107,441
$34.94 $                       ‐
$      6,267,572

(Off‐site)
Small 
30,069
Medium
23,477
Large                               ‐
53,546
Subtotal
Construction
(On‐site)
Small 
Medium
Large

(Off‐site)
Small 
75,199
Medium
38,094
Large                               ‐
113,293
Subtotal

270,581

192,489

$      6,725,566

Total 

412,175

257,834

$      8,519,940

Table 17: Worker Time and Cost for Return Reading of TB Test During Initial Medical Examination, New Workers
Cost = Burden Hours* Wage Rate
Hours = (INIT‐NEW * (READ+TRVL))
Variables (Sources: see initial medical exam tables)
INIT‐NEW = new workers completing initial medical examination
READ = hours of worker time for return reading (5 minutes (.08 hours))
*Note: Worker time to complete initial dermal TB test is included in the cost for initial medical examinations.
TRVL = hours of worker travel time to off‐site location for return reading
Wage Rate = $ per hour
Table 17: Worker Time and Cost for Return Reading of TB Test During Initial Medical Examination, New Workers

INIT‐NEW

READ

Burden Hours 
(rounded)

TRVL

Wage Rate

Item 12 Cost 
(rounded)

General Industry
(On‐site)
Small 
Medium
Large

705
8,804
1,704
11,213

0.0833                             ‐
0.0833                             ‐
0.0833                             ‐

6,343
8,804
189
15,336
26,549

0.0833
0.0833
0.0833

2,643
21,424
6,126
30,193

0.0833                             ‐
0.0833                             ‐
0.0833                             ‐

23,789
21,424
681
45,894
76,087

0.0833
0.0833
0.0833

59
734
142
935

$27.46 $                 1,620
$27.46 $               20,156
$27.46 $                 3,899
$              25,675

6,872
9,538
205
16,615
17,550

$27.46 $            188,705
$27.46 $            261,913
$27.46 $                 5,629
$            456,247
$            481,922

220
1,785
511
2,516

$34.94 $                 7,687
$34.94 $               62,368
$34.94 $               17,854
$              87,909

37,666
33,921
1,078
72,665
75,181

$34.94 $         1,316,050
$34.94 $         1,185,200
$34.94 $               37,665
$         2,538,915
$        2,626,824

(Off‐site)
Current
Small 
Medium
Large
Subtotal

1
1
1

Construction
(On‐site)
Small 
Medium
Large
(Off‐site)
Current
Small 
Medium
Large
Subtotal

1.5
1.5
1.5

Total

102,636

92,731

$         3,108,746

Existing and New Combined

514,811

350,565

$       11,628,686

Table 18: Contract Cost for PLHCP to Conduct the Dermal TB Test
Cost = Workers Tested * COST
Variables
TBINIT = new and existing workers completing initial dermal TB test, all 
industries
TBTRI = workers completing periodic dermal TB test, all industries
TEST = direct cost for dermal TB test ($16.63)
Table 18: Contract Cost for PLHCP to Conduct the Dermal TB Test
Workers Tested
TEST
Item 13 Costs (rounded)
TBINIT (Year 1)
514,811
$16.63
$8,561,307
TBTRI  (Year 4) 
$16.63
$523,712
31,492

Table 19: Medical Surveillance, Worker Time and Cost to Complete Periodic Medical Examination (Year 3 after implementation)
Cost = Burden Hours* Wage Rate
Hours = Total Year 4 Tests *(EXAMYR4+ TRVL)
Variables 
INIT‐EXST = existing workers completing initial medical examination
INIT‐NEW = new workers completing initial medical examination
INIT= # of total (existing and new) workers completing initial medical examination
TRI = # of workers completing periodic (triennial) medical examinations in Year 4 (the 3rd year after implementation)
Total Year 4 Tests = All test conducted in year 4 (3rd year after implementation). Combines triennial tests and initial tests conducted that year.
EXAMYR4 = hours of worker time to complete periodic exam (2 hours), including:
complete occupational health history survey, including medical questionnaire for respirator use
physical examination by knowledgeable PLHCP, including follow‐up evaluation for respirator use, if needed
chest x‐ray
pulmonary function test
other necessary tests, including periodic dermal TB test, if recommended
TRVL = hours of worker travel time to off‐site location
Wage Rate = $ per hour
FC = Employee wait time for "completion of form" during medical surveillance exam activities (15 mins). 
Table 19: Medical Surveillance, Worker Time and Cost to Complete Periodic Medical Examination (Year 3 after implementation)
Total Year 4 
Tests 
INIT‐EXST
INIT‐NEW INIT (subtotal)
TRI
(subtotals 
 (Year 1)
 (Year 1)
(Year 1)
(Year 4)
rounded)
EXAM YR4
TRVL

Burden Hours 
(rounded)

Wage Rate

Item 12 Cost 
(rounded)

General Industry
(On‐Site)
Small
Medium
Large
Subtotal

7,517
70,431
10,100
88,048

705
8,804
1,704
11,213

8,222
79,235
11,804
99,261

4,032
37,778
5,417
47,227

12,254
117,013
17,221
146,488

1.75
1.75
1.75

Small
30,069
Medium
23,477
Large                        ‐
Subtotal
53,546

6,343
8,804
189
15,336

36,412
32,281
189
68,882

16,128.32
12,592.52
0.00
28,720.84

52,540
44,874
189
97,603

1.75
1.75
1.75

141,594

26,549

168,143

75,947.76

244,091

18,800
114,283
24,205
157,288

2,643
21,424
6,126
30,193

21,443
135,707
30,331
187,481

6,982.04
42,442.98
8,989.37
58,414.38

28,425
178,150
39,320
245,895

1.75
1.75
1.75

Small
75,199
Medium
38,094
Large                        ‐
Subtotal
113,293

23,789
21,424
681
45,894

98,988
27,928
59,518
14,148
681                        ‐
159,187
42,075

126,916
73,666
681
201,263

1.75
1.75
1.75

21,445
204,773
30,137
256,355

$27.46
$27.46
$27.46

$588,880
$5,623,067
$827,562
$7,039,509

144,485
123,404
520
268,409

$27.46
$27.46
$27.46

$3,967,558
$3,388,674
$14,279
$7,370,511

(Off‐Site)

General Industry ‐ Total

1
1
1

524,764

$14,410,020

Construction
(On‐Site)
Small
Medium
Large
Subtotal

                       ‐

49,744
311,763
68,810
430,317

$34.94
$34.94
$34.94

$1,738,055
$10,892,999
$2,404,221
$15,035,275

412,477
239,415
2,213
654,105

$34.94
$34.94
$34.94

$14,411,946
$8,365,160
$77,322
$22,854,428

(Off‐Site)

Construction ‐ Total
Total 

270,581

76,087

1.5
1.5
1.5

346,668.00

100,490

447,158

1,084,422

$37,889,703

514,811

176,437.45

691,249

1,609,186

$52,299,723

Table 19(a): Cost to Complete the Medical Surveillance Form for Periodic Medical Examination (Year 3 after implementation)
Cost = Burden Hours* Wage Rate
Hours = Total Year 4 Tests *(EXAMYR4+ TRVL)
Variables 
INIT‐EXST = existing workers completing initial medical examination
INIT‐NEW = new workers completing initial medical examination
INIT= # of total (existing and new) workers completing initial medical examination
TRI = # of workers completing periodic (triennial) medical examinations in Year 4 (the 3rd year after implementation)
Total Year 4 Tests = All test conducted in year 4 (3rd year after implementation). Combines triennial tests and initial tests conducted that year.
Wage Rate = $ per hour
Form Completion (FC) = Employee wait time for "completion of form" during medical surveillance exam activities (15 mins). 
Table 19(a): Cost to Complete the Medical Surveillance Form for Periodic Medical Examination (Year 3 after implementation)
Total Year 4 
Form 
Tests 
INIT 
Completion  Burden Hours 
(subtotals 
(subtotal)
TRI
INIT‐EXST
INIT‐NEW
(FC) 
(rounded)
Wage Rate
rounded)
(Year 1)
(Year 4)
 (Year 1)
 (Year 1)
General Industry
(On‐Site)
Small
7,517
705
8,222
4,032
12,254
0.25
3,064
$27.46
Medium
70,431
8,804
79,235
37,778
117,013
0.25
29,253
$27.46
Large
10,100
1,704
11,804
5,417
17,221
0.25
4,305
$27.46
Subtotal
88,048
11,213
99,261
47,227
146,488
36,622

Item 12 Cost 
(rounded)

$84,137
$803,287
$118,215
$1,005,639

(Off‐Site)
Small
30,069
Medium
23,477
Large                        ‐
Subtotal
53,546

6,343
8,804
189
15,336

36,412
32,281
189
68,882

16,128.32
12,592.52
0.00
28,720.84

52,540
44,874
189
97,603

141,594

26,549

168,143

75,947.76

244,091

18,800
114,283
24,205
157,288

2,643
21,424
6,126
30,193

21,443
135,707
30,331
187,481

6,982.04
42,442.98
8,989.37
58,414.38

28,425
178,150
39,320
245,895

0.25
0.25
0.25

7,106
44,538
9,830
61,474

$34.94
$34.94
$34.94

$248,284
$1,556,158
$343,460
$2,147,902

Small
75,199
Medium
38,094
Large                        ‐
Subtotal
113,293

23,789
21,424
681
45,894

98,988
27,928
59,518
14,148
681                        ‐
159,187
42,075

126,916
73,666
681
201,263

0.25
0.25
0.25

31,729
18,417
170
50,316

$34.94
$34.94
$34.94

$1,108,611
$643,490
$5,940
$1,758,041

General Industry ‐ Total

0.25
0.25
0.25

13,135
11,219
47
24,401

$27.46
$27.46
$27.46

61,023

$360,687
$308,074
$1,291
$670,052
$1,675,691

Construction
(On‐Site)
Small
Medium
Large
Subtotal
(Off‐Site)

Construction ‐ Total
Total 

270,581

76,087

346,668.00

100,490

447,158

111,790

$3,905,943

514,811

176,437.45

691,249

172,813

$5,581,634

Table 20 ‐ Medical Surveillance, Contract Cost for a PLHCP to Conduct Periodic Medical 
Examination (Year 3 after implementation)
Cost = (TRI * TRICOST)
Variables 
TRI = # workers completing periodic (triennial) medical examinations
TRICOST = Total direct costs for triennial medical examinations ($346.72), including:
‐ Periodic review and updating of health history ‐ $36.94
‐ Physical examination by knowledgeable HCP ‐$110.83
‐ Chest X‐ray ‐ $88.24
‐ Chest X‐ray classified by a NIOSH‐certified B Reader ‐ $43.44
‐ Pulmonary function test ‐ $60.62
‐ Other necessary tests ‐ $66.5 (Assumed required by 10 percent of workers)
Table 20 ‐ Medical Surveillance, Contract Cost for a PLHCP to Conduct Periodic Medical 
Examination (Year 3 after implementation)

TRI
General Industry
Construction
TOTAL

75,948
100,490
176,437

Item 13 ‐ Direct Costs 
for Triennial Medical 
TRICOST
Screenings
$306.40 
$23,270,480 
$310.98 
$31,250,043
$54,520,523

Table 20(a) ‐ Medical Surveillance, Contract Cost for a PLHCP to Conduct Periodic Medical Examination ‐ Year 3 after 
implementation (Adjusted for Medical Surveillance Form Completion Time )
Cost = (TRI * TRICOST)
Variables 
TRI = # workers completing periodic (triennial) medical examinations
TRICOST = Total direct costs for triennial medical examinations ($346.72), including:
‐ Periodic review and updating of health history ‐ $36.94
‐ Physical examination by knowledgeable HCP ‐$110.83
‐ Chest X‐ray ‐ $88.24
‐ Chest X‐ray classified by a NIOSH‐certified B Reader ‐ $43.44
‐ Pulmonary function test ‐ $60.62
‐ Other necessary tests ‐ $66.5 (Assumed required by 10 percent of workers)
Table 20(a) ‐ Medical Surveillance, Contract Cost for a PLHCP to Conduct Periodic Medical Examination ‐ Year 3 after 
implementation (Adjusted for Medical Surveillance Form Completion Time)

General Industry
Construction
TOTAL

Ratio of "Form 
Item 13 ‐ Direct Costs 
Form Completion (FC)  Completion Cost" to  for Triennial Medical 
TRI
Cost
Other Exam Costs
Screenings
$40.32 
12%
$3,062,127 
75,948
$35.74 
10%
100,490
$3,591,742
176,437
$6,653,869

Table 21: Medical Surveillance, Worker Time and Cost to Complete TB Testing During Periodic Medical Examination (Year 3 after implementation)
Cost = Burden Hours* Wage Rate
Return Read Hours = (TRI * PERTEST)) * (READ + TRVL))
Variables 
TRI = # of workers completing periodic (triennial) medical examinations
PERTEST = percentage of workers recommended for periodic testing
TBTRI = # of workers completing TB test in year 4
READ = hours of worker time for return reading (5 minutes (.08 hours))
*Note : Worker time for the dermal TB test is included in the cost for periodic health screening.
TRVL = hours of worker travel time to off‐site location for return reading
Wage Rate = $ per hour

Table 21: Medical Surveillance, Worker Time and Cost to Complete TB Testing During Periodic Medical Examination (Year 3 after implementation)

TRI

PERTEST

TBTRI (TRI* 
PERTEST) 
(Year 4) 
(rounded)

READ

Burden Hours 
(rounded)
Wage Rate

TRVL

Item 12 Cost 
(rounded)

General Industry
(On‐Site)
Small
Medium
Large
Subtotal

4,032
37,778
5,417

Small
Medium
Large
Subtotal

16,128
12,593
0

15%
15%
15%

605
5,667
813
7,085

0.083
0.083
0.083
0.083

0
0
0

2,419
1,889
0
4,308

0.083
0.083
0.083
0.083

1
1
1

50
472
68
590

$27.46

$16,201

2,621
2,046
0
4,667

$27.46

$128,156

(Off‐site)
15%
15%
15%

General Industry ‐ Total

11,393

5,257

$144,357

Construction
(On‐Site)
Small
Medium
Large
Subtotal

6,982
42,443
8,989

Small
Medium
Large
Subtotal

27,928
14,148
0

20%
20%
20%

1,396
8,489
1,798
11,683

0.083
0.083
0.083
0.083

0
0
0

5,586
2,830
0
8,416

0.083
0.083
0.083
0.083

1.5
1.5
1.5
1.5

116
707
150
973

$34.94

$33,997

8,845
4,481
0
13,326

$34.94

$465,610

(Off‐site)

Construction ‐ Total
Total

20%
20%
20%

20,099

14,299

$499,607

31,492

19,556

$643,964

Table 22: Human Resources Manager Time and Cost to Provide Information to the PLHCP
Cost = Burden Hours * Wage Rate
Year 1 Hours = (INIT * HRT) + (PUL * HRT)
Year 4 Hours = (TRI * HRT) + (PUL *HRT)
Variables
INIT = # of total workers (new and existing) completing initial medical examination
PUL = # of estimated new silica cases per year/cases referred to specialist
TRI = # of workers completing periodic medical examination
HRT = hours of human resources manager time to provide information to the PLHCP, including use of sample forms.
Wage Rate = $ per hour
Table 22: Human Resources Manager Time and Cost to Provide Information to the PLHCP

Type of Examination

INIT/PUL

Burden Hours 
(rounded)

HRT

Wage Rate

Item 12 Cost 
(rounded)

Year 1
Initial
General Industry
Construction

26,549
76,087

0.25
0.25

6,637
19,022

$88.79
$88.79

$589,299
$1,688,963

Periodic
General Industry
Construction

244,091
447,158

0.25
0.25

61,023
111,790

$88.79
$88.79

$5,418,232
$9,925,834

Additional/Pulmonary Function Examination
General Industry
544
Construction
563
Total
794,992

1
1

544
563
199,579

$88.79
$88.79

$48,302
$49,989
$17,720,619

Table 23:  Human Resources Manager Time and Cost to Provide PLHCP's Written Opinion to Worker
Cost = Burden Hours* Wage Rate
Year 1 Hours = (INIT*HRT) + (PUL*HRT)
Variables
INIT = # of total workers (new and existing) completing initial medical examination
PUL ‐ # of estimated new silica cases per year/cases referred to specialist
TRI = # of workers completing periodic medical examination
HRT = hours of human resources manager time to provide written medical opinion to worker, including use of sample forms.
Wage Rate = $ per hour
Table 23:  Human Resources Manager Time and Cost to Provide PLHCP's Written Opinion to Worker
Burden Hours 
Type of Examination
INIT/PUL
HRT
(rounded)
Wage Rate

Item 12 Cost 
(rounded)

General Industry
Initial
Periodic
Specialist/Additional

26,549
244,091

0.25
0.25

6,637
61,023

$88.79
$88.79

$589,299
$5,418,232

544
271,184

0.25

136
67,796

$88.79

$12,075
$6,019,607

76,087
447,158

0.25
0.25

19,022
111,790

$88.79
$88.79

$1,688,963
$9,925,834

563
523,808

0.25

141
130,953

$88.79

Subtotal

$12,519
$11,627,316

Total

794,992

Subtotal
Construction
Initial
Periodic
Specialist/Additional

198,749

$17,646,923

Table 24: Medical Surveillance, Worker Time and Cost to Complete Specialist Exam
Cost = Burden Hours* Wage Rate
Hours = PUL * DIST * PERSCR * (WT + TRVL)
Variables
Medical Surveillance and "Surveillance Costs")
PUL = # of estimated new silica cases per year/cases referred to specialist
DIST = percentage of distributed cases among industries in proportion to the number of at‐risk workers
PERHSCR = percentage of medical examinations (onsite or offsite)
WT = hours of worker time (1)
TRVL = hours of worker travel time
Wage Rate = $ per hour
FC = Employee wait time for "completion of form" during medical surveillance exam activities (15 mins). 

Table 24: Medical Surveillance, Worker Time and Cost to Complete Specialist Exam

PUL
General Industry 
(On‐site)
Small
Medium
Large

DIST

(rounded)

PERHSCR

(rounded)

WT

Burden 
Hours 
(rounded)

TRVL

Wage Rate

Item 12 Cost 
(rounded)

544
27%
66%
7%

144
361
39

0%                      ‐ 
0%                      ‐ 
0%                      ‐ 

0.75                            ‐                      ‐ 
0.75                            ‐                      ‐ 
0.75                            ‐                      ‐ 

$27.46
$27.46
$27.46

$                   ‐
$                   ‐
$                   ‐

0.75
0.75
0.75

$27.46
$27.46
$27.46

$          6,920
$        17,355
$          1,867

(Off‐site)
Small
Medium
Large
Subtotal

144
361
39

100%
100%
100%

144
361
39

1
1
1

252
632
68

$       26,142

Construction
(On‐site)

563

Small
Medium
Large

35%
56%
9%

196
317
50

0%                      ‐ 
0%                      ‐ 
0%                      ‐ 

0.75                            ‐                      ‐ 
0.75                            ‐                      ‐ 
0.75                            ‐                      ‐ 

$34.94
$34.94
$34.94

$                   ‐
$                   ‐
$                   ‐

0.75
0.75
0.75

$34.94
$34.94
$34.94

$        15,409
$        24,912
$          3,948

(Off‐site)
Small
Medium
Large

196
317
50

100%
100%
100%

196
317
50

1.5
1.5
1.5

441
713
113

Subtotal
TOTAL

$       44,269
1,107

1,107

2,219

$       70,411

Table 24(a): Cost to Complete the Medical Surveillance Form for the Specialist Exam
Cost = Burden Hours* Wage Rate
Hours = PUL * DIST * PERSCR * (WT + TRVL)
Variables
Medical Surveillance and "Surveillance Costs")
PUL = # of estimated new silica cases per year/cases referred to specialist
DIST = percentage of distributed cases among industries in proportion to the number of at‐risk workers
PERHSCR = percentage of medical examinations (onsite or offsite)
WT = hours of worker time (1)
TRVL = hours of worker travel time
Wage Rate = $ per hour
Form Completion (FC) Time  = Employee wait time for "completion of form" during medical surveillance exam activities (15 mins). 

Table 24(a): Cost to Complete the Medical Surveillance Form for the Specialist Exam

PUL
General Industry 
(On‐site)
Small
Medium
Large

DIST

(rounded)

PERHSCR

(rounded)

Form 
Completion 
(FC)

Burden 
Hours 
(rounded)

Wage Rate

Item 12 Cost 
(rounded)

544
27%
66%
7%

144
361
39

0%                      ‐
0%                      ‐
0%                      ‐

0.25                      ‐
0.25                      ‐
0.25                      ‐

$27.46 $                   ‐
$27.46 $                   ‐
$27.46 $                   ‐

0.25                   36
0.25                   90
0.25                   10

$27.46 $              989
$27.46 $          2,471
$27.46 $              275

(Off‐site)
Small
Medium
Large
Subtotal

144
361
39

100%
100%
100%

144
361
39

$          3,735

Construction
(On‐site)

563
Small
Medium
Large

35%
56%
9%

196
317
50

0%                      ‐
0%                      ‐
0%                      ‐

0.25                      ‐
0.25                      ‐
0.25                      ‐

$34.94 $                   ‐
$34.94 $                   ‐
$34.94 $                   ‐

0.25                   49
0.25                   79
0.25                   13

$34.94 $          1,712
$34.94 $          2,760
$34.94 $              454

(Off‐site)
Small
Medium
Large

196
317
50

100%
100%
100%

196
317
50

Subtotal
TOTAL

$          4,926
1,107

1,107

277

$          8,661

Table 25: Medical Surveillance, Contract Cost for a PLHCP to Complete Specialist Exam
COST = PUL * EXAMCOST
Variables
PUL = # of estimated new silica cases per year/cases referred to pulmonary specialist
EXAMCOST = direct cost for examination by a  specialist ($210.89)
Wage Rate = $ per hour
Table 25: Medical Surveillance, Contract Cost for a PLHCP to Complete Specialist Exam

PUL
1,107

EXAMCOST
$184.95

Item 13 Cost (rounded)
$204,739

Table 25(a):  Cost to Complete Forms for Specialist Exam (Adjusted for Medical Surveillance Form Completion Time )
COST = PUL * EXAMCOST
Variables
PUL = # of estimated new silica cases per year/cases referred to pulmonary specialist
EXAMCOST = direct cost for examination by a  specialist ($210.89)
Wage Rate = $ per hour
Table 25(a):  Cost to Complete Forms for Specialist Exam (Adjusted for Medical Surveillance Form Completion Time)

PUL

Form Completion (FC) Cost
1,107
$25.94

Ratio of "Form Completion 
Cost" to Other Exam Costs
12%

Item 13 Cost (rounded)
$28,716

Table 26: Rule Familiarization
Burden Hours = ESTABS(rounded) * SUPERHRS
Costs = Burden Hours * Wage Rate
Variables
SUPERHRS = Supervisor Hours per Estab
Wage Rate = $ per hour
Table 26: Rule Familiarization

ESTABS (Affected)
General Industry
Small
Medium
Large
Sub‐Total

ESTABS (Affected) 
(rounded)

Burden Hours 
(rounded)

SUPERHRS

 Wage Rate

Item 12 Costs 
(rounded)

51,949
24,271
641
76,861

51,949
24,271
641
76,861

4
8
40

207,796
194,168
25,640
427,604

$45.09
$45.09
$45.09

$9,369,522
$8,755,035
$1,156,108
$19,280,665

545,417
59,743
560
605,720

4
8
40

2,181,668
477,944
22,400
2,682,012

$49.43
$49.43
$49.43

Sub‐Total

545,417
59,743
560
605,720

$107,839,849
$23,624,772
$1,107,232
$132,571,853

Total 

682,581

682,581

Construction
Small
Medium
Large

3,109,616

$151,852,518

Table 27: Recordkeeping, HR Manager Time and Cost to Establish and Maintain Records for Exposure Monitoring Data
Cost = Burden Hours* Wage Rate
Hours = EA * HRT
Variables
EA = total number of exposure assessments
HRT = hours of human resources manager time to establish and maintain records, including use of sample forms.
Wage Rate = $ per hour
Table 27: Recordkeeping, HR Manager Time and Cost to Establish and Maintain Records for Exposure Monitoring Data

EA

Burden Hours 
(rounded)

HRT

HRWage

Item 12 Costs 
(rounded)

General Industry
Initial
Periodic
Additional
Subtotal

69,487
86,402
21,601
177,490

0.25

44,373

$88.79

$3,939,879

5,531
12,291
3,072
20,894

0.25

5,224

$88.79

$463,839

Construction
Initial
Periodic
Additional
Subtotal
Total

198,384

49,597

$4,403,718

Table 28: HR Manager Time and Cost to Establish and Maintain Record for Medical Surveillance
Cost = Burden Hours* Wage Rate
Hours = (INIT+PUL+TRI) * HRT
Variables
INIT = # of total workers (new and existing) completing initial medical examination
PUL = # of estimated new silica cases per year/cases referred to specialist
TRI = # of workers completing periodic medical examination
HRT = hours of human resources manager time to establish and maintain records for referrals, initial and periodic 
examinations, including use of sample forms.
Wage Rate = $ per hour
Table 28: HR Manager Time and Cost to Establish and Maintain Record for Medical Surveillance
Type of 
Examination
General Industry
Initial
Periodic
Referral/additional
Subtotal

INIT/TRI/PUL

Burden Hours 
(subtotal rounded)

HRT

26,549
244,091
544
271,184

0.25
0.25
1

Initial
Periodic
Referral/additional
Subtotal

76,087
447,158
563
523,808

0.25
0.25
1

Total

794,992

Wage Rate

Item 12 Cost 
(rounded)

6,637
61,023
544
68,204

$88.79

$6,055,833

19,022
111,790
563
131,375

$88.79

$11,664,786

Construction

199,579

$17,720,619


File Typeapplication/pdf
AuthorRShowalter
File Modified2019-12-30
File Created2019-12-30

© 2024 OMB.report | Privacy Policy