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OSHA's Alliance Program (Private Sector)
Occupational Safety and Health Administration Alliance Program
OMB: 1218-0274
IC ID: 234833
OMB.report
DOL/OSHA
OMB 1218-0274
ICR 202301-1218-001
IC 234833
( )
Documents and Forms
Document Name
Document Type
Form OSHA 12-10.6
OSHA's Alliance Program (Private Sector)
Form
OSHA 12-10.6 Consulate Alliance Template (Other Countries)
Consulate Alliance Template - Other Countries (2-20-19) cover sheet.doc
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.6 Consulate Alliance Template (Other Countries)
Consulate Alliance Template - Other Countries (2-20-19) cover sheet.doc
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.8 Alliance Feedback Questionnaire
Evaluation Form - 2-22-19.docx
Form
OSHA 12-10.8 Alliance Feedback Questionnaire
Evaluation Form - 2-22-19.docx
Form
OSHA 12-10.1a National Alliance Agreement
1. National Alliance Agreement.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.1a National Alliance Agreement
1. National Alliance Agreement.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.1b National Alliance Renewal Agreement
2. National Alliance Renewal Agreement.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.1b National Alliance Renewal Agreement
2. National Alliance Renewal Agreement.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.2a Reginal Area Office Agreement
3. Regional_Area Office Agreement.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.2a Reginal Area Office Agreement
3. Regional_Area Office Agreement.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.2b Reginal Area Office Renewal Agreement
4. Regional_Area Office Renewal Agreement.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.2b Reginal Area Office Renewal Agreement
4. Regional_Area Office Renewal Agreement.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.5 Consulate Alliance Template - Mexico (English)
5a. Consulate Alliance Template - Mexico (English) - OMB 0274 12-13-22.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.5 Consulate Alliance Template - Mexico (English)
5a. Consulate Alliance Template - Mexico (English) - OMB 0274 12-13-22.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.5 Consulate Alliance Template - Mexico (Spanish)
5b. Consulate Alliance Template - Mexico (Spanish) - OMB 0274 12-13-22.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.5 Consulate Alliance Template - Mexico (Spanish)
5b. Consulate Alliance Template - Mexico (Spanish) - OMB 0274 12-13-22.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.6 Consulate Alliance Template - Mexico (Spanish)
6b. Consulate Alliance Template - Other Countries (Spanish) - OMB 0274.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.6 Consulate Alliance Template - Mexico (Spanish)
6b. Consulate Alliance Template - Other Countries (Spanish) - OMB 0274.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.7 Biannual Data Reporting Form
7. Biannual Data Reporting Form.xlsm
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.7 Biannual Data Reporting Form
7. Biannual Data Reporting Form.xlsm
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.9a Annual Alliance Evaluation Template
9. Annual Alliance Evaluation Template- National Office.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.9a Annual Alliance Evaluation Template
9. Annual Alliance Evaluation Template- National Office.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.9b Annual Alliance Evaluation - Regional and Area Office
10. Annual Alliance Evaluation Template- REgional and Area Office.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.9b Annual Alliance Evaluation - Regional and Area Office
10. Annual Alliance Evaluation Template- REgional and Area Office.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.10 Alliance Program Ambassador
11. Ambassador Document Template.docx
www.osha.gov/dcsp/alliances/template.html
Form
OSHA 12-10.10 Alliance Program Ambassador
11. Ambassador Document Template.docx
www.osha.gov/dcsp/alliances/template.html
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OSHA's Alliance Program (Private Sector)
Agency IC Tracking Number:
1218-0274 (2023)
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OSHA 12-10.6
Consulate Alliance Template (Other Countries)
Consulate Alliance Template - Other Countries (2-20-19) cover sheet.doc
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.8
Alliance Feedback Questionnaire
Evaluation Form - 2-22-19.docx
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.1a
National Alliance Agreement
1. National Alliance Agreement.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.1b
National Alliance Renewal Agreement
2. National Alliance Renewal Agreement.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.2a
Reginal Area Office Agreement
3. Regional_Area Office Agreement.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.2b
Reginal Area Office Renewal Agreement
4. Regional_Area Office Renewal Agreement.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.5
Consulate Alliance Template - Mexico (English)
5a. Consulate Alliance Template - Mexico (English) - OMB 0274 12-13-22.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.5
Consulate Alliance Template - Mexico (Spanish)
5b. Consulate Alliance Template - Mexico (Spanish) - OMB 0274 12-13-22.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.6
Consulate Alliance Template - Mexico (Spanish)
6b. Consulate Alliance Template - Other Countries (Spanish) - OMB 0274.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.7
Biannual Data Reporting Form
7. Biannual Data Reporting Form.xlsm
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.9a
Annual Alliance Evaluation Template
9. Annual Alliance Evaluation Template- National Office.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.9b
Annual Alliance Evaluation - Regional and Area Office
10. Annual Alliance Evaluation Template- REgional and Area Office.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
Form
OSHA 12-10.10
Alliance Program Ambassador
11. Ambassador Document Template.docx
https://www.osha.gov/dcsp/alliances/template.html
Yes
Yes
Fillable Fileable
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:
260
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
90 %
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
4,571
0
-23
0
0
4,594
Annual IC Time Burden (Hours)
13,173
0
107
74
0
12,992
Annual IC Cost Burden (Dollars)
0
0
0
0
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.