Information Collection

Challenge Administrator

IC 213268 under ICR 202407-1218-003 · OMB 1218-0239.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0239 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Challenge Administrator	Form
Challenge Administrator Application Challenge Administrator Application 5-2-2024.docx	Form
Challenge Administrator Application Challenge Administrator Application 5-2-2024.docx	Form
Challenge Administrator Annual Report OSHA Challenge Adminator Annual Report 2023.xls	Form
Challenge Administrator Annual Report OSHA Challenge Adminator Annual Report 2023.xls	Form

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:

table that charts list of 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 %

table that charts list of burden
	Approved	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

table that charts IC Documents
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.