Information Collection

Occupational Safety and Health Variance Regulation

IC 199154 under ICR 202411-1218-005 · OMB 1218-0265.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSHA Form 5-30-1 Experimental Variance Application Occupational Safety and Health Variance Regulation	Form
Form OSHA Form 5-30-2 TemporaryVariance Application Occupational Safety and Health Variance Regulation	Form
Form OSHA Form 5-30-3 Permanent Variance Application Occupational Safety and Health Variance Regulation	Form
Form OSHA Form 5-30-4 National Defence Variance Application Occupational Safety and Health Variance Regulation	Form
OSHA's Variance Program _ How to Apply for a Variance _ Occupational Safety and Health Administration.html www.osha.gov/dts/otpca/variances/how_to_apply.html	Instruction
OSHA's Variance Program _ How to Apply for a Variance _ Occupational Safety and Health Administration.html www.osha.gov/dts/otpca/variances/how_to_apply.html	Instruction
Experimental_variance_app_checklist _11-23-2024.pdf www.osha.gov/dts/otpca/variances/experimental_variance_app_checklist.pdf	Instruction
Experimental_variance_app_checklist _11-23-2024.pdf www.osha.gov/dts/otpca/variances/experimental_variance_app_checklist.pdf	Instruction
Temp_variance_app_checklist_11-23-2024.pdf www.osha.gov/dts/otpca/variances/temp_variance_app_checklist.pdf	Instruction
Temp_variance_app_checklist_11-23-2024.pdf www.osha.gov/dts/otpca/variances/temp_variance_app_checklist.pdf	Instruction
Permanent_variance_app_checklist_11-23-2024.pdf www.osha.gov/dts/otpca/variances/permanent_variance_app_checklist.pdf	Instruction
Permanent_variance_app_checklist_11-23-2024.pdf www.osha.gov/dts/otpca/variances/permanent_variance_app_checklist.pdf	Instruction
National_defence_variance_app_checklist_11-23-2024.pdf www.osha.gov/dts/otpca/variances/national_defence_variance_app_checklist.pdf	Instruction
National_defence_variance_app_checklist_11-23-2024.pdf www.osha.gov/dts/otpca/variances/national_defence_variance_app_checklist.pdf	Instruction
OSHA Form 5-30-1 Experimental Variance Application OSHA Experimental Var Appl Form 5-30-1_11-23-2024.pdf www.osha.gov/dts/otpca/variances/experimental_variance_app_form.pdf	Form
OSHA Form 5-30-1 Experimental Variance Application OSHA Experimental Var Appl Form 5-30-1_11-23-2024.pdf www.osha.gov/dts/otpca/variances/experimental_variance_app_form.pdf	Form
OSHA Form 5-30-2 TemporaryVariance Application OSHA Temp Var Appl Form 5-30-2_11-23-2024.pdf www.osha.gov/dts/otpca/variances/temp_variance_app_form.pdf	Form
OSHA Form 5-30-2 TemporaryVariance Application OSHA Temp Var Appl Form 5-30-2_11-23-2024.pdf www.osha.gov/dts/otpca/variances/temp_variance_app_form.pdf	Form
OSHA Form 5-30-3 Permanent Variance Application OSHA Perm Var Appl Form 5-30-3_11-23-2024.pdf www.osha.gov/dts/otpca/variances/permanent_variance_app_form.pdf	Form
OSHA Form 5-30-3 Permanent Variance Application OSHA Perm Var Appl Form 5-30-3_11-23-2024.pdf www.osha.gov/dts/otpca/variances/permanent_variance_app_form.pdf	Form
OSHA Form 5-30-4 National Defence Variance Application OSHA Nat Def Var Appl Form 5-30-4_11-23-2024.pdf www.osha.gov/dts/otpca/variances/national_defence_variance_app_form.pdf	Form
OSHA Form 5-30-4 National Defence Variance Application OSHA Nat Def Var Appl Form 5-30-4_11-23-2024.pdf www.osha.gov/dts/otpca/variances/national_defence_variance_app_form.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Occupational Safety and Health Variance Regulation

Agency IC Tracking Number:

1218-0265(2024)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR Part 1905 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		https://www.osha.gov/dts/otpca/variances/how_to_apply.html	Yes	No	Printable Only
Form	OSHA Form 5-30-1	https://www.osha.gov/dts/otpca/variances/experimental_variance_app_form.pdf	Yes	No	Fillable Printable
Instruction		https://www.osha.gov/dts/otpca/variances/experimental_variance_app_checklist.pdf	Yes	No	Printable Only
Form	OSHA Form 5-30-2	https://www.osha.gov/dts/otpca/variances/temp_variance_app_form.pdf	Yes	No	Fillable Printable
Instruction		https://www.osha.gov/dts/otpca/variances/temp_variance_app_checklist.pdf	Yes	No	Printable Only
Form	OSHA Form 5-30-3	https://www.osha.gov/dts/otpca/variances/permanent_variance_app_form.pdf	Yes	No	Fillable Printable
Instruction		https://www.osha.gov/dts/otpca/variances/permanent_variance_app_checklist.pdf	Yes	No	Printable Only
Form	OSHA Form 5-30-4	https://www.osha.gov/dts/otpca/variances/national_defence_variance_app_form.pdf	Yes	No	Fillable Printable
Instruction		https://www.osha.gov/dts/otpca/variances/national_defence_variance_app_checklist.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	51	3	48
Annual IC Time Burden (Hours)	366	0	366
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].