Information Collection

Cadmium in General Industry (29 CFR 1910.1027) Appendix D

IC 237716 under ICR 201911-1218-003 · OMB 1218-0185.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0185 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29 CFR 1910.1027 A Cadmium in General Industry (29 CFR 1910.1027) Appendix D	Form and Instruction
29 CFR 1910.1027 A Occupational Health History Interview with Reference to Cadmium Appendix D Public Burden Statement (021220)ntc.docx	Form and Instruction

IC Title:

Cadmium in General Industry (29 CFR 1910.1027) Appendix D

Agency IC Tracking Number:

1218-0085(2020)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1027

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 and Instruction	29 CFR 1910.1027 Appendix D	Occupational Health History Interview with Reference to Cadmium Exposure	Cadmium Appendix D Public Burden Statement (021220)ntc.docx		Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,679

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
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25,237	-810	26,047
Annual IC Time Burden (Hours)	4,207	-2,305	6,512
Annual IC Cost Burden (Dollars)	592,402	-160,859	753,261

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.