Challenge Administrator

Voluntary Protection Program Information

Documents and Forms

Document Name Document Type
Challenge Administrator Form
Challenge Administrator Application Challenge Administrator Application 5-2-2024.docx Form
Challenge Administrator Annual Report OSHA Challenge Adminator Annual Report 2023.xls Form

Information Collection (IC) Details

IC Title:	Challenge Administrator	Agency IC Tracking Number:	1218-0239 (2024)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Challenge Administrator Application	Challenge Administrator Application 5-2-2024.docx		Yes	Yes	Fillable Fileable
Form	N/A	Challenge Administrator Annual Report	OSHA Challenge Adminator Annual Report 2023.xls		Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,436	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 15 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,436	-452	1,888
Annual IC Time Burden (Hours)	1,247	-507	1,754
Annual IC Cost Burden (Dollars)	0	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.