Course Number / Title | Education Center Name | Training Location City | Training Location State | (Foreign) Country | Name and Address of Contract Company | Training Location Address | Start Date | Start Time | End Date | End Time | Total Students (projected) |
Contact Hours | Course Chairperson | Instructional Staff | Submitted By: (OTIEC POC) | Date Submitted | Comments |
see burden box below | |||||||||||||||||
Paperwork Reduction Act Statement | |||||||||||||||||
OMB Control Number: 1218-0262 Expiration Date: XXX 2023 |
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 0.50 hours per response, including time for reviewing instructions, searching for existing data sources, gathering and maintaining the data need, and completing and reviewing the collection of information. The obligation to respond to this collection is required for OTI Education centers to maintain OSHA's approval. The information is used to track performance measures and targets. OSHA provides no assurance of confidentiality on data collected on the Course Summary Report. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Labor, Occupational Safety and Health Administration, Directorate of Standards and Guidance, 200 Constitution Avenue, NW, Room N3718, Washington, DC 20210 and reference the OMB Control Number. Note: Please do not return the completed OSHA Form to this address. | OSHA Form 4-50.12 (July 2017) |
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File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |