Information Collection

Covid-19 Work Hour Controls Exemption Request Form

IC 241349 under ICR 202009-3150-002 · OMB 3150-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Part 26 Work Hour COVID-19 WORK HOUR CONTROLS EXEMPTION REQUEST FORM	Form
Part 26 Work Hour COVID-19 WORK HOUR CONTROLS EXEMPTION REQUEST FORM COVID Work Hour Controls Exemption Request Form.pdf	Form

IC Title:

COVID-19 WORK HOUR CONTROLS EXEMPTION REQUEST FORM

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 10 CFR 26

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	Part 26 Work Hour Controls Exemption Request	COVID-19 WORK HOUR CONTROLS EXEMPTION REQUEST FORM	COVID Work Hour Controls Exemption Request Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

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.