Information Collection

Cotton Dust (29 CFR 1910.1043)

IC 248434 under ICR 202408-1218-004 · OMB 1218-0061.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29 CFR 1910.1043 C Cotton Dust (29 CFR 1910.1043)	Form
1910.1043 App B-I - Respiratory Questionnaire.pdf www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1043AppBI	Other-Appendix B-1
1910.1043 App B-I - Respiratory Questionnaire.pdf www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1043AppBI	Other-Appendix B-1
29 CFR 1910.1043 C Respiratory Questionnaire Respiratory Questionnaire_1910.1043_Cotton Dust_App B-1.docx www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1043AppBI	Form
29 CFR 1910.1043 C Respiratory Questionnaire Respiratory Questionnaire_1910.1043_Cotton Dust_App B-1.docx www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1043AppBI	Form

IC Title:

Agency IC Tracking Number:

1218-0061(2024)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1043

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	29 CFR 1910.1043 Cotton Dust Appendix B-1	Respiratory Questionnaire	Respiratory Questionnaire_1910.1043_Cotton Dust_App B-1.docx	https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1043AppBI	Yes	No	Printable Only
Other-Appendix B-1			1910.1043 App B-I - Respiratory Questionnaire.pdf	https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1043AppBI	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,810

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	3,429	-482	3,911
Annual IC Time Burden (Hours)	286	-105	391
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.