Notice of Alleged Safety and Health Hazards (OSHA-7 Form)
1218-0064
November 30, 2020
SUPPORTING STATEMENT FOR THE
NOTICE OF ALLEGED SAFETY AND HEALTH HAZARDS (OSHA-7 Form)1
Office of Management and Budget (OMB)
Control No. 1218-0064 (November 2020)
1. Explain the circumstances that make the collection of information necessary. Identify any legal or administrative requirements that necessitate the collection. Attach a copy of the appropriate section of each statute and regulation mandating or authorizing the collection of information.
The main purpose of the Occupational Safety and Health Act (“OSH Act”) is to “assure so far as possible every working man and woman in the Nation safe and healthful working conditions and to preserve our human resources” (29 U.S.C. 651). To achieve this objective, Section (8)(f)(1) of the OSH Act states:
Any employees or representative of employees who believe that a violation of a
safety or health standard exists that threatens physical harm, or that an imminent
danger exists, may request an inspection by giving notice to [OSHA] of such
violation or danger. Any such notice shall be reduced to writing, shall set forth
with reasonable particularity the grounds for the notice, and shall be signed by the
employees or representative of employees, and a copy shall be provided the
employer or [the employer’s agent] no later than at the time of inspection, except
that, upon the request of the person giving such notice, [that person’s] name and
the names of individual employees referred to therein shall not appear in such
copy or on any record published, released, or made available pursuant to
subsection (g) of this section. If upon receipt of such notification [OSHA]
determines there are reasonable grounds to believe that such violation or danger
exists, OSHA shall make a special inspection in accordance with the provisions of this
section as soon as practicable (29 U.S.C. 657).
Under the authority granted by the OSH Act, the Occupational Safety and Health Administration (“OSHA” or “the agency”) published 29 CFR §1903.11 (“Complaints by employees”). Under paragraphs (a) and (c) of §1903.11 (“Complaints by employees”), employees and their representatives may notify the OSHA area director or an OSHA compliance officer of safety and health hazards regulated by the agency that they believe exist in their workplaces. These provisions state further that this notification must be in writing and “shall set forth with reasonable particularity the grounds for the notice, and shall be signed by the employee or representative of the employees.”
Along with providing specific hazard information to the agency, paragraph (a) permits employees/employee representatives to request an inspection of the workplace. Paragraph (c) also addresses situations in which employees/employee representatives may provide the information directly to the OSHA compliance officer during an inspection.
An employer’s former employees, as well as others may also submit complaints to the agency. Subsequent discussions in this Supporting Statement will refer to current and former employees as “complainants.”
To address the requirements of paragraphs (a) and (c), especially the requirement that the information be in writing, the agency developed the OSHA-7 Form; this form standardized and simplified the hazard reporting process. For paragraph (a), complainants may complete an OSHA-7 Form obtained from the agency’s Web site and then send it to OSHA online, or deliver a hardcopy of the form to the OSHA area office by mail or facsimile, or by hand. They may also write a letter containing the information and hand-deliver it to the area office, or send it by mail or facsimile. In addition, they may provide the information orally to the OSHA area office or another party (e.g., a Federal safety and health committee for Federal employees), in which case the area office or other party completes the hardcopy version of the form. For the typical situation addressed by paragraph (c), an employee/employee representative informs an OSHA compliance officer orally of the alleged hazard during an inspection, and the CSHO incorporates that information into the walkaround inspection.
The information in the hardcopy version of the OSHA-7 Form includes information about the employer and alleged hazards, including: the establishment’s name; the site’s address and telephone and facsimile numbers; the name and telephone number of the management official; the type of business; a description and the specific location of the hazards, including the approximate number of employees exposed or threatened by the hazards; and whether or not the employee/employee representative informed the employer or another government agency about the hazards (and the name of the agency if so informed).
Additional information on the hardcopy version of the form addresses the complainant, including: whether or not the complainant wants OSHA to reveal their name to the employer; whether the complainant is an employee or an employee’s representative, or a member of a Federal safety and health committee or another party (with space to specify the party); the complainant’s name, telephone number, and address; and the complainant’s signature attesting that they believe a violation of an OSHA standard exists at the named establishment; and the date of the signature. An employee’s representative must also provide the name of the organization they represent and their title.
The information contained in the online version of the OSHA-7 Form is similar to the hardcopy version. However, the online version requests the complainant’s e-mail address, and does not ask for the site’s facsimile number or the complainant’s signature and signature date. The complaint can also be filed online at OSHA’s Web site. Both the hardcopy and online versions of the form are available on OSHA’s Web site in English and Spanish language.
Item 2 below describes the purposes served by the information collected on the OSHA-7 Form and the other methods used to register the safety and health complaints of employees/employee representatives under 29 CFR § 1903.11.
2. Indicate how, by whom, and for what purpose the information is to be used. Except for a new collection, indicate the actual use the agency has made of the information received from the current collection.
The agency uses the information collected on the OSHA-7 Form to determine whether or not reasonable grounds exist to conduct an inspection of the workplace. The description of the hazards, including the number of exposed employees, allows the agency to assess the severity and probability of the hazards and the need to expedite the inspection. The completed form also provides an employer with notice of the complaint and may serve as the basis for obtaining a search warrant if an employer denies the agency access to the workplace.
OSHA proposes several minor editorial or non-substantive revisions to the hardcopy and electronic versions of the OSHA-7 Form to clarify instructions and modernize information sharing. The 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 proposes to make a change, to the “Instruction” field box on the form, that would add the word “health” to the sentence, “If there is any particular evidence that supports your suspicion that a hazard exists (for instance, a recent accident or physical/health symptoms of employees at your site) include the information in your description.” In addition, the agency would add to the “Hazard Description/Location” field box, which states, “Describe briefly the hazard(s) which you believe exist,” the new phrase, “and on what date you last observed the hazard(s).” The agency also proposes to include the addition of an email address with which to contact the agency. The hardcopy form would also be revised to provide the complainant an opportunity to provide their email address to the agency, as the electronic form currently provides. Other minor non-substantive editorial changes to the form are also included in the revision.
The agency has translated the form into a number of languages other than English and Spanish. The agency intends to submit those translations to OMB for approval via non-material change at a later time.
3. Describe whether, and to what extent, the collection of information involves the use of automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submission of responses, and the basis for the decision for adopting this means of collection. Also, describe any consideration of using information technology to reduce the burden.
As noted above in Item 1, the agency makes available a number of methods to simplify reporting complaints regarding violations of OSHA safety and health standards. These methods include completing and sending the OSHA-7 Form on-line, retrieving the form from the agency’s web site and sending the completed form to OSHA by mail or facsimile, or by hand. In addition, complainants can provide the information orally to the agency or another party by telephone (including OSHA’s 800 number) or in person.
4. Describe efforts to identify duplication. Show specifically why any similar information already available cannot be used or modified for use of the purposes described in Item A.2 above.
The information contained in the OSHA-7 Form is specific to each complainant involved, and no other sources or agencies duplicate these requirements or can make this information available to OSHA, i.e., the required information is available only from complainants.
5. If the collection of information impacts small businesses or other small entities, describe any methods used to minimize burden.
The collection of information on the OSHA-7 Form does not impact small businesses or other small entities. This information is only available from a complainant, and is the minimum necessary for the agency to determine whether or not reasonable grounds exist to justify the inspection, and to assess the severity of the alleged hazards.
6. Describe the consequences to Federal program or policy activities if the collection is not conducted or is conducted less frequently, as well as any technical or legal obstacles to reducing burden.
The provisions of 29 CFR § 1903.11 do not specify a frequency for reporting complaints regarding alleged workplace hazards (i.e., complainants voluntarily provide information regarding alleged workplace hazards at any time). However, the agency believes that the OSHA-7 Form is an efficient and effective method for collecting the required information in a timely manner to address serious hazards when complainants want to register such complaints. Accordingly, the form helps OSHA to fulfill its mandate “to assure so far as possible every working man and woman in the Nation safe and healthful working conditions and to preserve our human resources” as specified in the OSH Act at 29 U.S.C. 651. If complainants cannot use the form to notify OSHA of safety and health hazards, it will be difficult for them to give the appropriate detailed information concerning the circumstances of the hazards, including the information needed to evaluate the severity and probability, that OSHA needs in order to decide if an inspection is needed.
7. Explain any special circumstances that would cause an information collection to be conducted in a manner:
· Requiring respondents to report information to the agency more often than quarterly;
· Requiring respondents to prepare a written response to a collection of information in fewer than 30 days after receipt of it;
· Requiring respondents to submit more than an original and two copies of any document;
· Requiring respondents to retain records, other than health, medical, government contract, grant-in-aid, or tax records, for more than three years;
· In connection with a statistical survey, that is not designed to produce valid and reliable results that can be generalized to the universe of study;
· Requiring the use of a statistical data classification that has not been approved by OMB;
· That includes a pledge of confidentiality that is not supported by authority established in statute or regulation, that is not supported by disclosure and data security policies that are consistent with the pledge, or which unnecessarily impedes sharing of data with other agencies for compatible confidential use; or
· Requiring respondents to submit proprietary trade secret, or other confidential information unless the agency can demonstrate that it has instituted procedures to protect the information's confidentiality to the extent permitted by law.
No special circumstances exist that require complainants to collect information in the manner, or using the procedures specified by this item; the completion and submission of the OSHA-7 Form are within the guidelines specified by 5 CFR 1320.5.
8. If applicable, provide a copy and identify the data and page number of publication in the Federal Register of the agency's notice, required by 5 CFR 1320.8(d), soliciting comments on the information collection prior to submission to OMB. Summarize public comments received in response to that notice and describe actions taken by the agency in response to these comments. Specifically address comments received on cost and hour burden.
Describe efforts to consult with persons outside the agency to obtain their views on the availability of data, frequency of collection, the clarity of instructions and recordkeeping, disclosure, or reporting format (if any), and on the data elements to be recorded, disclosed, or reported.
Consultation with representatives of those from whom information is to be obtained or those who must compile records should occur at least once every three years -- even if the collection of information activity is the same as in prior periods. There may be circumstances that may preclude consultation in a specific situation. These circumstances should be explained.
As required by the Paperwork Reduction Act of 1995 (44 U.S.C. 3506(c)(2)(A)), OSHA published a notice in the Federal Register on May 11, 2020 (85 FR 27765) requesting public comment on its proposed revision of the collections of information contained in the OSHA-7 Form, Notice of Alleged Safety and Health Hazards. The agency proposed a number of editorial revisions to the form. This notice was part of a preclearance consultation program intended to provide interested parties the opportunity to comment on OSHA’s request for an extension by the Office of Management and Budget (OMB) of a previous approval of the collections of information contained in the OSHA-7 Form. The agency did not receive public comments regarding this information collection request.
9. Explain any decision to provide any payment or gift to respondents, other than remuneration of contractors or grantees.
The agency will not provide payments or gifts to the respondents.
10. Describe any assurance of confidentiality provided to respondents and the basis for the assurance in statute, regulation, or agency policy.
As specified by Section (8)(f)(1) of the OSH Act (29 U.S.C. 657) and paragraph (a) of 29 CFR 1903.11, complainants may ask the agency to remove their names and the names of individuals referred to in the complaint from any copy or record published, released, or made available by OSHA. The Privacy Act does not cover this collection of information.
11. Provide additional justification for any questions of a sensitive nature, such as sexual behavior and attitudes, religious beliefs, and other matters that are commonly considered private. This justification should include the reasons why the agency considers the questions necessary, the specific uses to be made of the information, the explanation to be given to persons from whom the information is requested, and any steps to be taken to obtain their consent.
The OSHA-7 Form does not request sensitive information.
12. Provide estimates of the hour burden of the collection of information. The statement should:
· Indicate the number of respondents, frequency of response, annual hour burden, and an explanation of how the burden was estimated. Unless directed to do so, agencies should not conduct special surveys to obtain information on which to base hour burden estimates. Consultation with a sample (fewer than 10) of potential respondents is desirable. If the hour burden on respondents is expected to vary widely because of differences in activity, size, or complexity, show the range of estimated hour burden, and explain the reasons for the variance. Generally, estimates should not include burden hours for customary and usual business practices.
· If this request for approval covers more than one form, provide separate hour burden estimates for each form and aggregate the hour burdens.
· Provide estimates of annualized costs to respondents for the hour burdens for collections of information, identifying and using appropriate wage rate categories.
Wage Rate Determinations
The agency determined the wage rate from mean hourly wage earnings to represent the cost of employee time. For the relevant standard occupational classification category, OSHA used the wage rates reported in the Bureau of Labor Statistics, U.S. Department of Labor, Occupational Employment Statistics (OES), May 2019 [date accessed: April 24, 2020]. (OES data is available at https://www.bls.gov/oes/tables.htm. To access a wage rate, select the year, “National,” and the Standard Occupational Classification (SOC) code.)
To derive the loaded hourly wage rate presented in the table below, the agency used data from the Bureau of Labor Statistics’ (BLS) Occupational Employment Statistics (OES), as described in the paragraph above. Then, the agency applied to the wage rates a fringe benefit markup based on data found in Table 2 of the following BLS release: Employer Costs for Employee Compensation news release text, released 10:00 AM (EDT), June 2020 (https://www.bls.gov/news.release/archives/ecec_06182020.htm) BLS reported that for civilian workers, fringe benefits accounted for 31.3 percent of total compensation and wages accounted for the remaining 68.7 percent. To calculate the loaded hourly wage for each occupation, the agency divided the mean hourly wage rate by 1 minus the fringe benefits.
Table 1 - WAGE HOUR ESTIMATES (2020) |
||||
|
|
|
|
|
Occupational Title |
Standard Occupation Code |
Mean Hour Wage Rate (A) |
Fringe Benefits (B) |
Loaded Hourly Wage Rate (C) = (A)/((1-(B)) |
All Occupations
|
00-0000 |
$25.72 |
.313 |
$37.44 |
Burden-Hour and Cost Determinations
In Fiscal Year 2019 the agency received 68,896 complaints (35,883 from Federal jurisdiction states and 33,013 from State Plan states) about workplace hazards using the OSHA-7 Form.2 In making burden hour and cost determinations, the agency assumes one complaint per respondent, for a total of 68,896 respondents.
In addition, the agency estimates an annual increase of approximately 7,140 additional complaints.3 The agency apportions the estimated increase as follows:
Type of Complaint |
Proportion Received |
Estimated Increase |
Electronic |
51.8% |
3,699 |
Oral |
41.5% |
2,963 |
Written |
6.7% |
478 |
Total |
- |
7,140 |
(A) Electronic Submission of OSHA-7 Forms
When a complainant completes and sends the OSHA-7 Form online, it goes directly to the OSHA area office nearest to the workplace identified on the form. Based on a review of FY 2019 data for complaints filed within Federal jurisdiction, 51.8% or 35,688 were electronic complaints submitted on-line and an employee takes, at a wage rate of $37.49 per hour, about 17 minutes (17/60 hour) to complete and send the form to OSHA area office or a State plan office. Accordingly, the annual burden hours and cost associated with providing the required information on-line are:
Burden hours: 35,688 on-line forms x 17/60 hour = 10,111.60 hours
Cost: 10,111.60 hours x $37.44 = $378,578.30
Burden hours: 3,699 on-line forms (increase) x 17/60 hour = 1,048.05 hours
Cost: 1,048.05 hours x $37.44 = $39,238.99
(B) Oral Complaints
A complainant may provide the required information orally three ways either by: (1) calling OSHA’s 800 number (1-800-321-OSHA [6742]), (2) calling an area office, or (3) in person at the area office. In all cases a compliance officer will transfer the information to an OSHA-7 Form.
If a complainant provides the required information orally, a compliance officer (either in the area office or by telephone) records the information on the OSHA-7 Form. Based on a review of FY 2019 data for complaints filed within Federal jurisdiction, 41.5%, or 28,592 complaints are verbal. Additionally, OSHA determines that a complainant needs 15 minutes (15/60 hour) to communicate the information to a compliance officer. Therefore, the total burden hours and cost of providing the information orally are:
Burden hours: 28,592 oral complaints x 15/60 hour = 7,148.00 hours
Cost: 7,148.00 hours x $37.44 = $267,621.12
Burden hours: 2,963 oral complaints (increase) x 15/60 hour = 740.75 hours
Cost: 740.75 hours x $37.44 = $27,733.68
(C) Written Complaints
A complainant may submit a complaint in writing to a compliance officer (either at the workplace or an area office) by downloading a hardcopy version of the OSHA-7 Form from the agency’s website and completing it by hand, or writing a letter that contains the required information; they may submit the form or letter by mail or facsimile, or by hand. The agency believes that the remaining 6.7% of complaints (4,616) received each year are written; it also assumes that a complainant spends on average 25 minutes (25/60 hour) completing a hardcopy version of the form, or writing a letter and responding to any follow-up questions asked by a compliance officer. Accordingly, the yearly burden-hour and cost estimates for providing the required information in writing are:
Burden hours: 4,616 written complaints x 25/60 hours = 1,923.33 hours
Cost: 1,923.33 hours x $37.44 = $72,009.60
Burden hours: 478 written complaints x 25/60 hours = 199.17 hours
Cost: 199.17 hours x $37.44 = $7,456.80
Table 2 - Estimated Annualized Respondent Burden Hours and Costs
Collection of Information |
Total No. of Respondents |
No. of Responses per Respondent |
Total No. of Responses |
Avg. Burden per Response (in Hrs.) |
Total Burden Hours |
Mean Hourly Wage Rate |
Total Burden Costs |
(A)(1) Electronic Submission of OSHA-7 Forms |
35,688 |
1 |
35,688 |
17/60
|
10,111.60 |
$37.44
|
$378,578.30 |
(A)(2) Increase Estimate – Electronic Complaints |
3,699 |
1 |
3,699 |
17/60 |
1,048.05 |
$37.44 |
$39.238.99 |
(B)(1) Oral Complaints
|
28,592 |
1
|
28,592 |
15/60 |
7,148.00 |
$37.44 |
$267,621.12 |
(B)(2) Increase Estimate – Oral Complaints |
2,963 |
1 |
2,963 |
15/60 |
740.75 |
37.44 |
$27,733.68 |
(C)(1) Written Complaints |
4,616 |
1 |
4,616 |
25/60 |
1,923.33 |
$37.44 |
$72,009.60 |
(C)(2) Increase Estimate – Written Complaints |
478 |
1 |
478 |
25/60 |
199.17 |
$37.44 |
$7,456.80 |
Total |
76,036 |
|
76,036 |
|
21,170.90 |
|
$792,638.49 |
13. Provide an estimate of the total annual cost burden to respondents or recordkeepers resulting from the collection of information. (Do not include the cost of any hour burden shown in Items 12 and 14.)
· The cost estimate should be split into two components: (a) a total capital and start-up cost component (annualized over its expected useful life) and (b) a total operation and maintenance and purchase of services component. The estimates should take into account costs associated with generating, maintaining, and disclosing or providing the information. Include descriptions of methods used to estimate major cost factors including system and technology acquisition, expected useful life on capital equipment, the discount rate(s), and the time period over which costs will be incurred. Capital and start-up costs include, among other items, preparations for collecting information such as purchasing computers and software; monitoring, sampling, drilling and testing equipment; and record storage facilities.
· If cost estimates are expected to vary widely, agencies should present ranges of cost burdens and explain the reasons for the variance. The cost of purchasing or contracting out information collections services should be part of this cost burden estimate. In developing cost burden estimates, agencies may consult with a sample of respondents (fewer than 10), utilize the 60-day pre-OMB submission public comment process and use existing economic or regulatory impact analysis associated with the rulemaking containing the information collection, as appropriate.
· Generally, estimates should not include purchases of equipment or services, or portions thereof, made: (1) prior to October 1, 1995, (2) to achieve regulatory compliance with requirements not associated with the information collection, (3) for reasons other than to provide information or keep records for the government, or (4) as part of customary and usual business or private practices.
Of the 5,094 respondents submitting complaints in writing (by either fax or mail) OSHA estimates that 610 will mail their complaints and that it will cost $0.55 to mail their OSHA-7 Form to OSHA. Therefore, the total capital cost to complainants of mailing written complaints to OSHA is $335.50 (610 mailings x $0.55).
14. Provide estimates of annualized cost to the Federal Government. Also, provide a description of the method used to estimate cost, which should include quantification of hours, operational expenses (such as equipment, overhead, printing, and support staff), and any other expense that would not have been incurred without this collection of information. Agencies may also aggregate cost estimates from Items 12, 13, and 14 in a single table.
An OSHA compliance officer must complete an OSHA-7 Form if the complainant provides the required information orally or submits the information in a letter. The agency estimates that a compliance officer (GS-12, step 5), at an hourly wage rate of $41.664, spends 15 minutes (15/60 hour) and 25 minutes (25/60 hour), respectively, entering the oral and written information onto an OSHA-7 Form. The agency assumes that compliance officers must complete OSHA-7 Forms for every oral complaint (31,555) and half of the written complaints (2,547 of the 5,094 complaints). The agency considers other expenses, such as equipment, overhead, and support staff salaries, as normal operating expenses that would occur without the need for compliance officers to complete OSHA-7 Forms. Therefore, the total cost of these paperwork requirements to the Federal government is:
Cost: ((31,555 oral complaints x 15/60 hour) + (2,951 letters x 25/60 hour)) x $41.66= $379,870
15. Explain the reasons for any program changes or adjustments.
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 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.
16. For collection of information whose results will be published, outline plans for tabulation and publication. Address any complex analytical techniques that will be used. Provide the time schedule for the entire project, including beginning and ending dates of the collection of information, completion of report, publication dates, and other actions.
OSHA will not publish the information collected on the OSHA-7 Form.
17. If seeking approval to not display the expiration date for OMB approval of the information collection, explain the reasons that display would be inappropriate.
The agency will display the expiration date for OMB approval on the form associated with this collection of information.
18. Explain each exception to the certification statement.
OSHA is not requesting an exception to the certification statement.
B. COLLECTIONS OF INFORMATION EMPLOYING STATISTICAL METHODS
This Supporting Statement does not contain any collection of information requirements that employ statistical methods.
1 The purpose of this Supporting Statement is to analyze and describe the burden hours and costs associated with the paperwork requirements of the OSHA-7 Form; this Supporting Statement does not provide information or guidance on how to comply with, or how to enforce, these requirements.
2 This number includes all OSHA-7 Forms received during Fiscal Year 2019 regardless of whether or not the complaint adequately justified an OSHA inspection (Source: OSHA Information System (OIS) [data accessed 03/11/20]).
3 When comparing FY 2019 and FY 2020 OIS data for the period from February 1 to June 30, there was an increase of 2,973 complaints received over the five month period. (2,973 complaints/5 months = 595 complaints per month; 595 complaints per month x 12 months = 7,140 complaints per year)
4 Source: U.S. Office of Personnel Management, General Schedule and Locality Tables, Salary Table 2020-RUS (https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/salary-tables/20Tables/html/RUS_h.aspx).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | SUPPORTING STATEMENT FOR THE |
| Author | Rachel Showalter |
| File Modified | 0000-00-00 |
| File Created | 2022-03-07 |