Challenge Participant

Voluntary Protection Program Information

Documents and Forms

Document Name Document Type
Challenge Participant Form and Instruction
Challenge participant Application and Instruction OSHA-Challenge-Participant-Application.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Challenge Participant	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 and Instruction	N/A	Challenge participant Application and Instruction	OSHA-Challenge-Participant-Application.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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	60	13	47
Annual IC Time Burden (Hours)	990	260	730
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.