Information Collection Request

Access to Employee Exposure and Medical Records (29 CFR 1910.1020)

ICR 202308-1218-003 · OMB 1218-0065 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Appendix A Appendix A Form and Instruction Modified Repair queued
1218-0065 SSA Access to Medical Records 9.12..23 OSHA.docx Supporting Statement A Uploaded 2023-09-15 Missing upstream
eCFR (Access to Employee Exposure and medical Records.)doc.docx8-23.docx Supplementary Document Uploaded 2023-08-15 Repair queued
eCFR (Access to Employee Exposure and medical Records.)doc.docx8-23.docx Supplementary Document Uploaded 2023-08-14 Repair queued
OSH Act Section 8 USC 657 '20.pdf Supplementary Document Uploaded 2023-08-14 Repair queued
OSH Act Section 6~29-USC-655 (1-21).pdf Supplementary Document Uploaded 2023-08-14 Repair queued
OSH Act 651 ('18).docx Supplementary Document Uploaded 2023-08-14 Missing upstream
RULES OF AGENCY PRACTICE AND PROCEDURE CONCERNING OSHA ACCESS TO EMPLOYEE MEDICAL RECORDS eCFR — Code of Federal Regulations 03.02.20.pdf Supplementary Document Uploaded 2020-03-03 Repair queued
Hazard Communication Standard eCFR — Code of Federal Regulations (03.02.20).pdf Supplementary Document Uploaded 2020-03-03 Repair queued
Access to Employee Exposure and Medical Records eCFR — Code of Federal Regulations 03.02.20.pdf Supplementary Document Uploaded 2020-03-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
225683 Appendix A Form and Instruction Modified
13974 Access to Employee Exposure and Medical Records (29 CFR 1910.1020) Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 10/31/2023
7,342,642 6,688,963
816,012 755,475
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Access to Employee Exposure and Medical Records (29 CFR 1910.1020)
Appendix A Appendix A Sample Authorization Letter for the Release of Employee Medical Record Information to a Designated Representative (Non-Mandatory)

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,342,642 6,688,963 0 0 653,679 0
Annual Time Burden (Hours) 816,012 755,475 0 0 60,537 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No