Information Collection

On-Site Consultation Employers

IC 186456 under ICR 202409-1218-003 · OMB 1218-0110.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Apx E Interim-Year SHARP Self-Eval (CPPM doc) _12-06-2024.docx	Other-Worksheet
Apx E Interim-Year SHARP Self-Eval (CPPM doc) _12-06-2024.docx	Other-Worksheet
Apx L-2 PSM SHARP Self-Eval (1)_12-06-2024.docx	Instruction
Apx L-2 PSM SHARP Self-Eval (1)_12-06-2024.docx	Instruction
Apx F-1 SHP Action Plan Template (Apx F - CPPM doc) (1)_12-06-2024.docx	Other-Worksheet
Apx F-1 SHP Action Plan Template (Apx F - CPPM doc) (1)_12-06-2024.docx	Other-Worksheet
Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc)_12-06-2024.docx	Other-Worksheet
Apx F-2 Optional SHP Action Plan Tool (Apx F -CPPM doc)_12-06-2024.docx	Other-Worksheet

IC Title:

On-Site Consultation Employers

Agency IC Tracking Number:

1218-0110 (2024)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1908

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Electronic Capability
Other-Worksheet	No	Fillable Printable
Instruction	No	Printable Only
Other-Worksheet	No	Fillable Printable
Other-Worksheet	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23,113

Number of Respondents for Small Entity: 23,113

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	23,113	-1,464	24,577
Annual IC Time Burden (Hours)	20,129	13,323	6,806
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.

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