Susan Harwood Training Grant Program Grantee Quarterly Progress Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1A Revised Optional Trainee Data Form	Form and Instruction	Removed	Available
Form 1 Optional Trainee Data Form	Form and Instruction	Removed	Available
Form 1 Optional Trainee Data Form	Form and Instruction	Removed	Repair queued
Form 171 Grantee Quarterly Progress Report	Form and Instruction	Unchanged	Available
Form 171 Grantee Quarterly Progress Report	Form and Instruction	Unchanged	Repair queued
OSHA 171A DEIA_Evaluation Form exp. 9.30.2026 revised 2.20.2025.docx	Supplementary Document	Uploaded 2025-03-11	Repair queued
OSHA 171A DEIA_Evaluation Form exp. 9.30.2026 revised 2.20.2025.docx	Supplementary Document	Uploaded 2025-03-11	Available
OSHA Form 171_ Progress Report revised_March2025 CLEAN.xlsx	Supplementary Document	Uploaded 2025-03-11	Available
OSHA Form 171_ Progress Report revised_March2025 CLEAN.xlsx	Supplementary Document	Uploaded 2025-03-11	Available
OSHA Form 171_ Progress Report__March 2025 edits.xlsx	Supplementary Document	Uploaded 2025-03-11	Available
OSHA Form 171_ Progress Report__March 2025 edits.xlsx	Supplementary Document	Uploaded 2025-03-11	Repair queued
1218-0100 Susan Hardwood Non-material change request Justofication 03-2025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-11	Available
1218-0100 Susan Hardwood Non-material change request Justofication 03-2025.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-11	Repair queued
SS_1218-0100 Susan Harwood 6-29-23 ROCIS Rev 03-19-2025 CLEAN.docx	Supporting Statement A	Uploaded 2025-03-25	Repair queued
SS_1218-0100 Susan Hardwood 6-29-23.docx	Supporting Statement A	Uploaded 2023-06-29	Repair queued
88 FR 5041_ January 26, 2023.pdf	Supplementary Document	Uploaded 2023-06-28	Available
88 FR 5041_ January 26, 2023.pdf	Supplementary Document	Uploaded 2023-06-28	Repair queued
Copy of DEIA_OSHA_SH Form 171_ WITH HIGHLIGHTED CHANGES.xlsx	Supplementary Document	Uploaded 2023-04-24	Available
Copy of DEIA_OSHA_SH Form 171_ WITH HIGHLIGHTED CHANGES.xlsx	Supplementary Document	Uploaded 2023-04-24	Repair queued
29 USC 670, Section 21.pdf	Supplementary Document	Uploaded 2023-03-29	Repair queued
29 USC 670, Section 21.pdf	Supplementary Document	Uploaded 2023-03-29	Repair queued
29 CFR 95.51.pdf	Supplementary Document	Uploaded 2023-03-29	Repair queued
29 CFR 95.51.pdf	Supplementary Document	Uploaded 2023-03-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
259841	Optional Trainee Data Form	Form and Instruction	Removed	Revised Optional Trainee Data Form
259841	Optional Trainee Data Form	Form and Instruction	Removed	Optional Trainee Data Form
259841	Optional Trainee Data Form	Form and Instruction	Removed
14018	Grantee Quarterly Progress Report	Form and Instruction	Unchanged	Grantee Quarterly Progress Report
14018	Grantee Quarterly Progress Report	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1218-0100	ICR Reference No: 202503-1218-001
Status: Active	Previous ICR Reference No: 202310-1218-004
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0100 (2023)
Title: Susan Harwood Training Grant Program Grantee Quarterly Progress Report
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/22/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/12/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	09/30/2026	09/30/2026
Responses	744	0	46,392
Time Burden (Hours)	6,324	0	10,128
Cost Burden (Dollars)	0	0	0

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Abstract: The Grantee Quarterly Progress Report is used to collect information concerning activities conducted during the quarter by grantees under OSHA's Susan Harwood training grants. The information is used by OSHA to monitor progress and the use of Federal grant funds.

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Authorizing Statute(s): US Code: 29 USC 670 (section 21) Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 5041	01/26/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 43400	07/07/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Grantee Quarterly Progress Report	171	Grantee Quarterly Progress Report
Optional Trainee Data Form	1, 1A	Optional Trainee Data Form ,   Revised Optional Trainee Data Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	744	46,392	0	0	-45,648	0
Annual Time Burden (Hours)	6,324	10,128	0	0	-3,804	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $73,513

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/12/2025

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