Optional Trainee Data Form

Susan Harwood Training Grant Program Grantee Quarterly Progress Report

Documents and Forms

Document Name Document Type
Form 1 Optional Trainee Data Form Form and Instruction
1 Optional Trainee Data Form 1218-0100 DEIA_OSHA_Trainee Form 9.8.2023 rev..docx Form and Instruction
1A Revised Optional Trainee Data Form 1218-0100 DEIA_OSHA_Trainee Form - REVISED.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Optional Trainee Data Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 95.51

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Optional Trainee Data Form	1218-0100 DEIA_OSHA_Trainee Form 9.8.2023 rev..docx		Yes	Yes	Fillable Printable
Form and Instruction	1A	Revised Optional Trainee Data Form	1218-0100 DEIA_OSHA_Trainee Form - REVISED.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45,648	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	45,648	45,648
Annual IC Time Burden (Hours)	3,804	3,804
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.