Summary of Estimated Annualized Respondent (Employer) Hour and Cost Burden for Optional Worksheet

PSM On-Site Consultation Agreements (29 CFR 1908)

Documents and Forms

Document Name Document Type
Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx Other-Worksheet
Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx Other-Worksheet
Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx Other-Worksheet
Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx Other-Worksheet

Information Collection (IC) Details

IC Title:	Summary of Estimated Annualized Respondent (Employer) Hour and Cost Burden for Optional Worksheet	Agency IC Tracking Number:	1218-0NEW (2023)

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1908

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Worksheet			Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx		No		Fillable Printable
Other-Worksheet			Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx		No		Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,375	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,375	1,375
Annual IC Time Burden (Hours)	8,250	8,250
Annual IC Cost Burden (Dollars)	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.