Information Collection

OSHA's Alliance Program (Public Sector)

IC 234835 under ICR 202301-1218-001 · OMB 1218-0274.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0274 can be found here:

2025-11-26 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSHA 12-10.6 OSHA's Alliance Program (Public 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 www.osha.gov/dcsp/alliances/template.html	Form
OSHA 12-10.8 Alliance Feedback Questionnaire Evaluation Form - 2-22-19.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 12-10.1a 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 - Other Countries (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 - Other Countries (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 - Nation Office 9. Annual Alliance Evaluation Template- National Office.docx www.osha.gov/dcsp/alliances/template.html	Form
OSHA 12-10.9a Annual Alliance Evaluation - Nation Office 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 Ambassador Document 11. Ambassador Document Template.docx www.osha.gov/dcsp/alliances/template.html	Form
OSHA 12-10.10 Ambassador Document 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 (Public 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:

table that charts list of 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	https://www.osha.gov/dcsp/alliances/template.html	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 - Other Countries (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 - Nation Office	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	Ambassador Document	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: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	397	-2	399
Annual IC Time Burden (Hours)	1,145	15	1,130
Annual IC Cost Burden (Dollars)	0	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.