Information Collection

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

IC 13971 under ICR 202008-1218-004 · OMB 1218-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0064 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSHA-7 (English, o Notice of Alleged Safety or Health Hazards (OSHA-7 Form)	Form and Instruction
OSHA-7 (Enlish, do Notice of Alleged Safety and Health Hazards (downloadabl osha7(rev920).pdf www.osha.gov/oshforms/osha7.pdf	Form and Instruction
OSHA-7 (Spanish, d Notificación de una Queja en Seguridad y Salud OSHA 7 Form Spanish Rev Apr 2020.ydmb.pdf www.osha.gov/oshforms/OSHA7_SPANISH.pdf	Form and Instruction
OSHA-7 (English, o OSHA Online Complaint Form - Notice of Alleged Safety an ecomplaintform and Instuctions (ENGLISH) 09.18.20.pdf www.osha.gov/pls/osha7/eComplaintForm.html	Form and Instruction
OSHA-7 (Spanish, o Notificacion de Alegacion de Riesgos a la Seguridad o Sa ecomplaintform and Instuctions (SPANISH) 09.18.20.pdf www.osha.gov/pls/osha7/ecomplaintform_sp.html	Form and Instruction
File a Complaint (eng).pdf How to File a Safety and Health Complaint with OSHA	IC Document
OSHA 7 Online Form Rev Apr 2020.docx On-line Form revisions highlighted	IC Document
File a Complaint (eng).pdf Downloadable form revisions highlighted	IC Document
File a Complaint (sp).pdf How To File a Safety and Health Complaint with OSHA (Spanish)	IC Document

IC Title:

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

Agency IC Tracking Number:

1218-0064(2020)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1903.11

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	OSHA-7 (Enlish, downloadable)	Notice of Alleged Safety and Health Hazards (downloadable)	osha7(rev920).pdf	https://www.osha.gov/oshforms/osha7.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OSHA-7 (Spanish, downloadable)	NotificaciÃ³n de una Queja en Seguridad y Salud	OSHA 7 Form Spanish Rev Apr 2020.ydmb.pdf	https://www.osha.gov/oshforms/OSHA7_SPANISH.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	OSHA-7 (English, online)	OSHA Online Complaint Form - Notice of Alleged Safety and Health Hazard	ecomplaintform and Instuctions (ENGLISH) 09.18.20.pdf	https://www.osha.gov/pls/osha7/eComplaintForm.html	Yes	Yes	Fillable Fileable
Form and Instruction	OSHA-7 (Spanish, online)	Notificacion de Alegacion de Riesgos a la Seguridad o Salud	ecomplaintform and Instuctions (SPANISH) 09.18.20.pdf	https://www.osha.gov/pls/osha7/ecomplaintform_sp.html	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 76,036

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 52 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	76,036	5,060	70,976
Annual IC Time Burden (Hours)	21,171	1,913	19,258
Annual IC Cost Burden (Dollars)	336	-365	701

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
How to File a Safety and Health Complaint with OSHA	File a Complaint (eng).pdf	09/21/2020
On-line Form revisions highlighted	OSHA 7 Online Form Rev Apr 2020.docx	08/17/2020
Downloadable form revisions highlighted	File a Complaint (eng).pdf	09/21/2020
How To File a Safety and Health Complaint with OSHA (Spanish)	File a Complaint (sp).pdf	09/21/2020

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