OSHA Form 4-50.11 OTIEC Outreach Program Monthly Report

OSHA Outreach Training Program and OSHA Training Institute Education Centers Program Forms

4-50.11 OTIEC Outreach Program Monthly Report.xlsx

OMB: 1218-0262

Document [xlsx]
Download: xlsx | pdf
OTIEC Date Activity Initiated Date Activity Completed Basis for Monitoring Activity Type of Monitoring Activity Number of Classes included in Records Audit Training Observation Class Type Training Observation - Hours Observed Trainer (Last Name) Trainer (First Name) City ST Result Comments / Follow-up Resolution
see burden box below




















































































































Paperwork Reduction Act Statement









OMB Control Number: 1218-0262
Expiration Date: XXX 2023
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such 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's approval. The information is used to track performance measures and targets. OSHA provides no assurance of confidentiality on data collected on the Course Summary 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 Administration, 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 4-50.11 to this address.
OSHA Form 4-50.11
(July 2017)



































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































































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