Information Collection

Appendix D (Ethylene Oxide)

IC 242974 under ICR 202310-1218-002 · OMB 1218-0108.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix D (EtO).docx Appendix (EtO)	IC Document
Appendix D (EtO).docx Appendix (EtO)	IC Document

IC Title:

Agency IC Tracking Number:

1218-0208(2023)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1047

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: Ethylene Oxide

FR Citation: 84 FR 30740

Number of Respondents: 2,026

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	23,811	-450	24,261
Annual IC Time Burden (Hours)	22,465	18,421	4,044
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix (EtO)		08/03/2020

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

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