Onsite Consultation Agreements (29 CFR Part 1908) State Projects

Occupational Safety and Health Onsite Consultation Agreements (29 CFR Part 1908)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0110 can be found here:

Documents and Forms

Document Name Document Type
OSHA_INSTRUCTION(CPPM)_final_1-18-08.doc Instruction
PSM Evaluation Worksheet.docx Other-worksheet
Apx E Interim-Year SHARP Self-Eval (CPPM doc).docx Other-worksheet
Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx Other-worksheet
Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx Other-worksheet
Apx L-2 PSM SHARP Self-Eval.docx Instruction
Apx L-3 Determining Applicability of PSM.docx Instruction
Apx M- Incident Investigation Report_Updated 11-13-24.docx Other-worksheet
Table C-1 Optional PSM Wksht (for PSM Eval Wksht).docx Other-worksheet
Table C-2 Optional PSM Wksht (for PSM Eval Wksht).docx Other-worksheet
Table D Optional PSM Wksht (for PSM Eval Wksht).docx Other-worksheet
Table E Optional PSM Wksht (for PSM Eval Wksht).docx Other-worksheet
Table M Optional PSM Wksht (for PSM Eval Wksht).docx Other-worksheet
Form 33 Safety and Health Program Assessment Worksheet Safety and Health Program Assessment Worksheet Form 33 (January 2022) .docx Form

Information Collection (IC) Details

IC Title:	Onsite Consultation Agreements (29 CFR Part 1908) State Projects	Agency IC Tracking Number:	1218-0110 (2024)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 1908

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			OSHA_INSTRUCTION(CPPM)_final_1-18-08.doc	Yes	No	Fillable Printable
Form	Form 33	Safety and Health Program Assessment Worksheet	Safety and Health Program Assessment Worksheet Form 33 (January 2022) .docx	Yes	Yes	Fillable Fileable
Other-worksheet			PSM Evaluation Worksheet.docx	No		Fillable Printable
Other-worksheet			Apx E Interim-Year SHARP Self-Eval (CPPM doc).docx	No		Fillable Printable
Other-worksheet			Apx F-1 SHP Action Plan Template (Apx F - CPPM doc).docx	No		Fillable Printable
Other-worksheet			Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc).docx	No		Fillable Printable
Instruction			Apx L-2 PSM SHARP Self-Eval.docx	No		Printable Only
Instruction			Apx L-3 Determining Applicability of PSM.docx	No		Printable Only
Other-worksheet			Apx M- Incident Investigation Report_Updated 11-13-24.docx	No		Fillable Printable
Other-worksheet			Table C-1 Optional PSM Wksht (for PSM Eval Wksht).docx	No		Fillable Printable
Other-worksheet			Table C-2 Optional PSM Wksht (for PSM Eval Wksht).docx	No		Fillable Printable
Other-worksheet			Table D Optional PSM Wksht (for PSM Eval Wksht).docx	No		Fillable Printable
Other-worksheet			Table E Optional PSM Wksht (for PSM Eval Wksht).docx	No		Fillable Printable
Other-worksheet			Table M Optional PSM Wksht (for PSM Eval Wksht).docx	No		Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	53,472	-16,789	70,261
Annual IC Time Burden (Hours)	175,607	-41,082	216,689
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.