COVID-19 Work Hour Controls Exemption Request Form

10 CFR 26, Fitness for Duty Programs

OMB: 3150-0146

IC ID: 241349

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COVID-19 Work Hour Controls Exemption Request Form
No Unchanged
10 CFR 26

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 Part 26 COVID-related work-hours exemption request form.pdf Yes Yes Fillable Fileable

Energy Energy Resource Management


40 0
Private Sector Businesses or other for-profits
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 40 0 0 0 0 40
Annual IC Time Burden (Hours) 80 0 0 0 0 80
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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