1625-0063 SS r0 2019 calc-sheet App-A-to-C

1625‐0063
Appendix A: Estimated Annual Burden on Industry
Information Collection Category Annual Response
Initial Exposure Monitoring
0.1
Periodic Exposure Monitoring
0.5
Additional Exposure Monitoring
0.1
Notification of Exposure Monitoring Annual Response
Written notification preparation
0.5
Prep, Copy, Distribute
0.5
Written Exposure Reduction Programs Annual Response
Preparation of Written Program
0.1
Type Program
0.1
Written Respiratory Protection Programs Annual Response
Preparation of Written Program
0.09
Type Program
0.09
Fit to Wear Respirator Annual Response
Annual Medical Monitoring ‐ Physician
2
Annual Medical Monitoring ‐ Employee
2
Respirator Fit Testing Records Annual Response
prep, test, record preparation
10
employee time for test
10
Medical Monitoring Annual Response
Exam Cost ‐ Physician Time
12.5
Exam Cost ‐ Employee Time
12.5
Exam Cost ‐ Technician Time
12.5
Outside Lab Costs
12.5
Annual Response
Information for Physicians
12.5
Material Safety Data Sheets
35
Employee Training
16.5

Total Responses Hours Hourly Wage
20
120
$94
100
40
$94
20
40
$94
Total Responses Hours Hourly Wage
100
1
$94
100
3
$41
Totals:
Total Responses Hours Hourly Wage
20
40
$94
20
2
$41
Totals:
Total Responses Hours Hourly Wage
18
24
$94
18
2
$41
Totals:
Total Responses Hours Hourly Wage
400
0.5
$137
400
0.5
$27
Totals:
Total Responses Hours Hourly Wage
2,000
2.67
$35
2,000
2
$27
Totals:
Total Responses Hours Hourly Wage
2,500
1
$137
2,500
4
$27
2,500
1
$35
2,500
‐
$220
Totals:
Total Responses Hours Hourly Wage
2,500
1
$94
7,000
0.25
$41
3,301
0.083
$35

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Respondents:
Annual Hour
2,400
4,000
800
Annual Hour
100
300
400
Annual Hour
800
40
840
Annual Hour
432
36
468
Annual Hour
200
200
400
Annual Hour
5,333
4,000
9,333
Annual Hour
2,500
10,000
2,500
‐
15,000
Annual Hour
2,500
1,750
274

200
Annual Cost
$225,600
$376,000
$75,200
Annual Cost
$9,400
$12,300
$21,700
Annual Cost
$75,200
$1,640
$76,840
Annual Cost
$40,608
$1,476
$42,084
Annual Cost
$27,400
$5,400
$32,800
Annual Cost
$186,655.00
$108,000.00
$294,655
Annual Cost
$342,500
$270,000
$87,500
$550,000
$1,250,000
Annual Cost
$235,000
$71,750
$9,590

1625‐0063

Appendix B: Estimated Annual Burden on Industry ‐ Summary
Information Collection 
Total 
Category
Responses
Initial Exposure Monitoring
20
Periodic Exposure 
100
Monitoring
Additional Exposure 
20
Monitoring
Notification of Exposure 
200
Monitoring
Written Exposure Reduction 
40
Programs
Written Respiratory 
36
Protection Programs
Fit to Wear Respirator
800
Respirator Fit Testing 
4,000
Records
Medical Monitoring
10,000
Information for Physicians
2,500
Material Safety Data Sheets
7,000
Employee Training
3,301
Totals:
28,017

Hour Burden Cost Burden
2,400

$225,600

4,000

$376,000

800

$75,200

400

$21,700

840

$76,840

468

$42,084

400

$32,800

9,333

$294,655

15,000
$1,250,000
2,500
$235,000
1,750
$71,750
274
$9,590
38,165
$2,711,219
Per Company: $13,557

Appendix C:  Estimated Annual Federal Government Cost
Requirement
Benzene record reviews
Totals

Responses
1,000

Hours/ 
Response
0.08333

Total Cost Burden
$6,888
*Estimates may not sum due to rounding

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Annual Hours Wage Rate
84

$82

Annual Cost
$6,888
$6,888