Respirable Crystalline Silica Standards for General Industry (29 CFR 1910.1053), Maritime (29 CFR 1915.1053) and Construction (29 CFR 1926.1153) - Sample Forms in Appendix B of the CFR

Respirable Crystalline Silica Standards for General Industry (29 CFR 1910.1053), Maritime (29 CFR 1915.1053) and Construction (29 CFR 1926.1153)

OMB: 1218-0266

IC ID: 239109

Information Collection (IC) Details

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Respirable Crystalline Silica Standards for General Industry (29 CFR 1910.1053), Maritime (29 CFR 1915.1053) and Construction (29 CFR 1926.1153) - Sample Forms in Appendix B of the CFR 1218-0266(2023)
 
No Modified
 
Mandatory
 
29 CFR 1915.1053 29 CFR 1910.1053 29 CFR 1926.1153

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 29 CFR 1910.1053 and 29 CFR 1153 Appendix B Written Medical Report for Employee Sample Form Silica Appendix B Sample Form WRITTEN MEDICAL REPORT FOR EMPLOYEE 12-30-19.docx Yes No Printable Only
Form 29 CFR 1910.1053 and 29 CFR 1926.1153 Appendix B Written Medical Opinion for Employer Sample Form Silica Appendix B Sample Form WRITTEN MEDICAL OPINION for EMPLOYER 12-30-19.docx Yes No Printable Only

Workforce Management Worker Safety

 

764,318 0
   
Private Sector Businesses or other for-profits
 
   5 %

  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 917,688 0 0 -289,479 0 1,207,167
Annual IC Time Burden (Hours) 229,425 0 0 -72,368 0 301,793
Annual IC Cost Burden (Dollars) 0 0 0 -28,892,964 0 28,892,964

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