Information Collection

Occupational Safety and Health State Plan Information

IC 14321 under ICR 202412-1218-003 · OMB 1218-0247.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Occupational Safety and Health State Plan Information

Agency IC Tracking Number:

1218-0247 (2025)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1954 29 CFR 1956 29 CFR 1953 29 CFR 1902

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

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 29

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,299	44	1,255
Annual IC Time Burden (Hours)	11,371	316	11,055
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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