OSHA's Alliance Program (Public Sector)

Occupational Safety and Health Administration Alliance Program

OMB: 1218-0274

IC ID: 234835

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Information Collection (IC) Details

View Information Collection (IC)

OSHA's Alliance Program (Public Sector) 1218-0274(2023)
 
No Modified
 
Voluntary
 

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

Workforce Management Worker Safety

 

20 0
   
State, Local, and Tribal Governments
 
   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 397 0 -2 0 0 399
Annual IC Time Burden (Hours) 1,145 0 15 0 0 1,130
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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