Information Collection

Methylene Chloride (1910.1052)

IC 248297 under ICR 202107-1218-003 · OMB 1218-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0179 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29 CFR 1910.1052 Methylene Chloride (1910.1052)	Form and Instruction
29 CFR 1910.1052 Questionnaire for Methylene Chloride Exposure Methylene Chloride Appendix B Public Burden Statement _Form 7-07-2021.docx	Form and Instruction
29 CFR 1910.1052 Questionnaire for Methylene Chloride Exposure Methylene Chloride Appendix B Public Burden Statement _Form 7-07-2021.docx	Form and Instruction

IC Title:

Methylene Chloride (1910.1052)

Agency IC Tracking Number:

1218-0179(2021)

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1052 29 CFR 1926.1052 29 CFR 1915.1052

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 1910.1052	Questionnaire for Methylene Chloride Exposure	Methylene Chloride Appendix B Public Burden Statement _Form 7-07-2021.docx	OSHA.gov	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30,570

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	30,570	30,570
Annual IC Time Burden (Hours)	2,548	2,548
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.