OSHA Form 4-50.12 OTIEC Out of Region Training Report

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

4-50.12 OTIEC Out of Region Training Report.xlsx

OMB: 1218-0262

Document [xlsx]
Download: xlsx | pdf
Course Number / Title Education Center Name Training Location City Training Location State (Foreign) Country Name and Address of Contract Company Training Location Address Start Date Start Time End Date End Time Total Students
(projected)
Contact Hours Course Chairperson Instructional Staff Submitted By: (OTIEC POC) Date Submitted Comments
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 collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 0.50 hours 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 to this address. OSHA Form 4-50.12
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