Notice of Alleged Safety or Health Hazards (OSHA-7 Form)

ICR 202008-1218-004

OMB: 1218-0064

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2020-11-19
Supplementary Document
2020-11-19
Supplementary Document
2020-11-19
Supplementary Document
2014-05-30
Supplementary Document
2014-05-30
Supplementary Document
2014-05-30
IC Document Collections
ICR Details
1218-0064 202008-1218-004
Received in OIRA 201707-1218-003
DOL/OSHA 1218-0064(2020)
Notice of Alleged Safety or Health Hazards (OSHA-7 Form)
Revision of a currently approved collection   No
Regular 11/19/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
76,036 70,976
21,171 19,258
336 701

The OSHA-7 Form is used by OSHA personnel to report unhealthful and/or unsafe conditions in the workplace. The information is given to OSHA by employees who wish to report unhealthful and/or unsafe conditions at their place of employment. Employee reports are authorized by Section 8(f)(1) of the OSH Act. This information is used by OSHA to evaluate the alleged hazards and to schedule an inspection. The form is available in English and Spanish. OSHA-7 Form has been translated into nine Asian American Pacific Islander languages.

US Code: 29 USC 651 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 657 Name of Law: Occupational Safety and Health Act
  
None

Not associated with rulemaking

  85 FR 27765 05/11/2020
85 FR 73809 11/19/2020
No

1
IC Title Form No. Form Name
Notice of Alleged Safety or Health Hazards (OSHA-7 Form) OSHA-7 (English, online), OSHA-7 (Spanish, online), OSHA-7 (Enlish, downloadable), OSHA-7 (Spanish, downloadable) OSHA Online Complaint Form - Notice of Alleged Safety and Health Hazard ,   Notificacion de Alegacion de Riesgos a la Seguridad o Salud ,   Notice of Alleged Safety and Health Hazards (downloadable) ,   Notificación de una Queja en Seguridad y Salud

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 76,036 70,976 0 0 5,060 0
Annual Time Burden (Hours) 21,171 19,258 0 0 1,913 0
Annual Cost Burden (Dollars) 336 701 0 0 -365 0
No
No
The agency is requesting an adjustment increase of 1,912.90 burden hours (from 19,258 to 21,170.90). The increase is a result of an estimated increase of 5,060 complaints received annually from 70,976 in the previous ICR to 76,036. Additionally, in the period since the last approval, the agency has experienced a shift away from complaints received in writing to those received electronically. The burden hour increase is off-set by a decrease in burden hours related to this shift. The agency also requests an adjustment decrease in operation and maintenance costs of $365.50 (from $701 to $335.50). The decrease occurred due to a decrease in the estimated number of written OSHA-7 forms being mailed from 1,430 to 610 forms. In addition, OSHA proposes several minor editorial and non-substantive revisions to the OSHA-7 Form to clarify instructions and modernize information sharing. The minor edits are also requested in response to feedback from field management, as well as to ensure consistency with current agency policies and procedures. The agency does not believe that the proposed revisions to the complaint form will further impact the adjusted burden hours.

$379,870
No
    No
    No
No
No
No
No
Rachel Showalter 202 693-2146 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/19/2020


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