Information Collection

1,3-Butadiene (29 CFR 1910.1051)

IC 14103 under ICR 202306-1218-001 · OMB 1218-0170.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0170 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
butadiene app f mark-up.pdf Appendix F mark-up	IC Document
butadiene app f mark-up.pdf Appendix F mark-up	IC Document

IC Title:

1,3-Butadiene (29 CFR 1910.1051)

Agency IC Tracking Number:

1218-0170(2023)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1051

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

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,183	376	2,807
Annual IC Time Burden (Hours)	674	0	674
Annual IC Cost Burden (Dollars)	81,121	4,652	76,469

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix F mark-up	butadiene app f mark-up.pdf	09/24/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.