Document Name Document Type
oshaform5-30-1a.pdf Instruction
oshaform5-30-1a.pdf Instruction
oshaform5-30-2a.pdf Instruction
oshaform5-30-2a.pdf Instruction
oshaform5-30-3a.pdf Instruction
oshaform5-30-3a.pdf Instruction
oshaform5-30-4a.pdf Instruction
oshaform5-30-4a.pdf Instruction
experimental_variance_app_checklist.pdf www.osha.gov/dts/otpca/variances/experimental_variance_app_checklist.pdf Instruction
experimental_variance_app_checklist.pdf www.osha.gov/dts/otpca/variances/experimental_variance_app_checklist.pdf Instruction
national_defence_variance_app_checklist.pdf www.osha.gov/dts/otpca/variances/national_defence_variance_app_checklist.pdf Instruction
national_defence_variance_app_checklist.pdf www.osha.gov/dts/otpca/variances/national_defence_variance_app_checklist.pdf Instruction
permanent_variance_app_checklist.pdf www.osha.gov/dts/otpca/variances/permanent_variance_app_checklist.pdf Instruction
permanent_variance_app_checklist.pdf www.osha.gov/dts/otpca/variances/permanent_variance_app_checklist.pdf Instruction
temp_variance_app_checklist.pdf www.osha.gov/dts/otpca/variances/temp_variance_app_checklist.pdf Instruction
temp_variance_app_checklist.pdf www.osha.gov/dts/otpca/variances/temp_variance_app_checklist.pdf Instruction
OSHA's Variance Program _ How to Apply for a Variance _ Occupational Safety and Health Administration.html www.osha.gov/dts/otpca/variances/how_to_apply.html Instruction
OSHA's Variance Program _ How to Apply for a Variance _ Occupational Safety and Health Administration.html www.osha.gov/dts/otpca/variances/how_to_apply.html Instruction
OSHA Form 5-30-1 Experimental Variance Application experimental_variance_app_form.pdf www.osha.gov/dts/otpca/variances/experimental_variance_app_form.pdf Form
OSHA Form 5-30-1 Experimental Variance Application experimental_variance_app_form.pdf www.osha.gov/dts/otpca/variances/experimental_variance_app_form.pdf Form
OSHA Form 5-30-4 National Defense Variance Application national_defence_variance_app_form.pdf www.osha.gov/dts/otpca/variances/national_defence_variance_app_form.pdf Form
OSHA Form 5-30-4 National Defense Variance Application national_defence_variance_app_form.pdf www.osha.gov/dts/otpca/variances/national_defence_variance_app_form.pdf Form
OSHA Form 5-30-3 Permanent Variance Application permanent_variance_app_form.pdf www.osha.gov/dts/otpca/variances/permanent_variance_app_form.pdf Form
OSHA Form 5-30-3 Permanent Variance Application permanent_variance_app_form.pdf www.osha.gov/dts/otpca/variances/permanent_variance_app_form.pdf Form
OSHA Form 5-30-2 Temporary Variance Form temp_variance_app_form.pdf www.osha.gov/dts/otpca/variances/temp_variance_app_form.pdf Form
OSHA Form 5-30-2 Temporary Variance Form temp_variance_app_form.pdf www.osha.gov/dts/otpca/variances/temp_variance_app_form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Occupational Safety and Health Variance Regulation	Agency IC Tracking Number:	1218-0265(2018)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR Part 1905 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			oshaform5-30-1a.pdf		Yes	No	Printable Only
Instruction			oshaform5-30-2a.pdf		Yes	No	Printable Only
Instruction			oshaform5-30-3a.pdf		Yes	No	Printable Only
Instruction			oshaform5-30-4a.pdf		Yes	No	Printable Only
Form	OSHA Form 5-30-1	Experimental Variance Application	experimental_variance_app_form.pdf	https://www.osha.gov/dts/otpca/variances/experimental_variance_app_form.pdf	Yes	No	Fillable Printable
Instruction			experimental_variance_app_checklist.pdf	https://www.osha.gov/dts/otpca/variances/experimental_variance_app_checklist.pdf	Yes	No	Printable Only
Form	OSHA Form 5-30-4	National Defense Variance Application	national_defence_variance_app_form.pdf	https://www.osha.gov/dts/otpca/variances/national_defence_variance_app_form.pdf	Yes	No	Fillable Printable
Instruction			national_defence_variance_app_checklist.pdf	https://www.osha.gov/dts/otpca/variances/national_defence_variance_app_checklist.pdf	Yes	No	Printable Only
Form	OSHA Form 5-30-3	Permanent Variance Application	permanent_variance_app_form.pdf	https://www.osha.gov/dts/otpca/variances/permanent_variance_app_form.pdf	Yes	No	Fillable Printable
Instruction			permanent_variance_app_checklist.pdf	https://www.osha.gov/dts/otpca/variances/permanent_variance_app_checklist.pdf	Yes	No	Printable Only
Form	OSHA Form 5-30-2	Temporary Variance Form	temp_variance_app_form.pdf	https://www.osha.gov/dts/otpca/variances/temp_variance_app_form.pdf	Yes	No	Printable Only
Instruction			temp_variance_app_checklist.pdf	https://www.osha.gov/dts/otpca/variances/temp_variance_app_checklist.pdf	Yes	No	Printable Only
Instruction			OSHA's Variance Program _ How to Apply for a Variance _ Occupational Safety and Health Administration.html	https://www.osha.gov/dts/otpca/variances/how_to_apply.html	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	366	366
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.

Occupational Safety and Health Variance Regulation

Occupational Safety and Health Act Variance Regulations (29 CFR 1905.10, 1905.11 and 1905.12)

OMB: 1218-0265

IC ID: 199154

View Information Collection (IC)