Information Collection

Appendix D (Ethylene Oxide)

IC 242974 under ICR 202007-1218-005 · OMB 1218-0108.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0108 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix D (EtO).docx Appendix (EtO)	IC Document

IC Title:

Appendix D (Ethylene Oxide)

Agency IC Tracking Number:

1218-0208(2020)

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1047

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

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title: Ethylene Oxide

FR Citation: 84 FR 30740

Number of Respondents: 2,085

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
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	24,261	24,261
Annual IC Time Burden (Hours)	4,044	4,044
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix (EtO)	Appendix D (EtO).docx	08/03/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.