OSHA Form 4-50.9 OSHA Outreach Training Program Course

FY 2016 Reporting Month

10-Hr Construction Courses

30-Hr Construction Courses

10-Hr General Industry Courses

30-Hr General Industry Courses

7-Hr Disaster Site Worker

15-Hr Disaster Site Worker

10-Hr Shipyard Employment

10-Hr Marine Terminals

10-Hr Longshoring

30-Hr Shipyard Employment

30-Hr Marine Terminals

30-Hr Longshoring

10-Hr ET&D

20-Hr ET&D

Total Courses

10-Hr Construction Students

30-Hr Construction Students

10-Hr General Industry Students

30-Hr General Industry Students

7-Hr Disaster Site Worker

15-Hr Disaster Site Worker

10-Hr Shipyard Employment

10-Hr Marine Terminals

10-Hr Longshoring

30-Hr Shipyard Employment

30-Hr Marine Terminals

30-Hr Longshoring

10-Hr ET&D

20-Hr ET&D

Total Students

Comments

October

see burden box below, to the right

-

-

November

-

-

December

-

-

January

-

-

February

-

-

March

-

-

April

-

-

May

-

-

June

-

-

July

-

-

August

-

-

September

-

-

Total

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Total Courses

Total Students

QTR1

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

QTR2

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

QTR3

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

QTR4

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

OMB Control Number 1218-0262 Expiration Date: 07/31/2017

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 1 hour per response, including time for reviewing instructions, searching for existing data sources, gathering and maintaining the data need, and completing and reviewing the collection of information. The obligation to respond to this collection is required for OTI Education Centers to maintain OSHA approval. The information is used to monitor training activity and track performance measures. OSHA provides no assurance of confidentiality on data collected on the Monthly Couese sumary report. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Occupational Safety and Health Adminstration, Directorate of Standards and Guidance, 200 Constitution Avenue, NW, Room N3718, Washington, DC 20210 and reference the OMB Control Number. Note: Please do not return the completed OSHA Form 4-50.9 to this address.

OSHA Form 4-50.9 XXX 2023