Document Name Document Type
Form OSHA 12-10.6 OSHA's Alliance Program (Public Sector) Form
OSHA 12-10.6 Consulate Alliance Template (Other Countries) Consulate Alliance Template - Other Countries (2-20-19) cover sheet.doc www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.8 Alliance Feedback Questionnaire Evaluation Form - 2-22-19.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.6 Consulate Alliance Template - Other Countries (Spanish) 6b. Consulate Alliance Template - Other Countries (Spanish) - OMB 0274.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.7 Biannual Data Reporting Form 7. Biannual Data Reporting Form.xlsm www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.9a Annual Alliance Evaluation - Nation Office 9. Annual Alliance Evaluation Template- National Office.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.9b Annual Alliance Evaluation - Regional and Area Office 10. Annual Alliance Evaluation Template- REgional and Area Office.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.1a National Alliance Agreement 1- National-Alliance-Agreement.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.1b National Alliance Renewal 2- National-Alliance-Renewal.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.2a Regional/Area Office Alliance Agreement 3- Regional-Area-Office-Agreement.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.2b Regional/Area Office Alliance Renewal 4- Regional-Area-Office-Renewal.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.10 Ambassador Document (National and Regional/Area Office) 5- Ambassador-Document.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.5 Consulate Alliance Template- Mexico (English) 6a- Mexico-Consulate-English.docx www.osha.gov/dcsp/alliances/template.html Form
OSHA 12-10.5 Consulate Alliance Template- Mexico (Spanish) 6b- Mexico-Consulate-Spanish.docx www.osha.gov/dcsp/alliances/template.html Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OSHA's Alliance Program (Public Sector)	Agency IC Tracking Number:	1218-0274(2025)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSHA 12-10.6	Consulate Alliance Template (Other Countries)	Consulate Alliance Template - Other Countries (2-20-19) cover sheet.doc	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.8	Alliance Feedback Questionnaire	Evaluation Form - 2-22-19.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.6	Consulate Alliance Template - Other Countries (Spanish)	6b. Consulate Alliance Template - Other Countries (Spanish) - OMB 0274.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.7	Biannual Data Reporting Form	7. Biannual Data Reporting Form.xlsm	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.9a	Annual Alliance Evaluation - Nation Office	9. Annual Alliance Evaluation Template- National Office.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.9b	Annual Alliance Evaluation - Regional and Area Office	10. Annual Alliance Evaluation Template- REgional and Area Office.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.1a	National Alliance Agreement	1- National-Alliance-Agreement.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.1b	National Alliance Renewal	2- National-Alliance-Renewal.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.2a	Regional/Area Office Alliance Agreement	3- Regional-Area-Office-Agreement.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.2b	Regional/Area Office Alliance Renewal	4- Regional-Area-Office-Renewal.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.10	Ambassador Document (National and Regional/Area Office)	5- Ambassador-Document.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.5	Consulate Alliance Template- Mexico (English)	6a- Mexico-Consulate-English.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable
Form	OSHA 12-10.5	Consulate Alliance Template- Mexico (Spanish)	6b- Mexico-Consulate-Spanish.docx	https://www.osha.gov/dcsp/alliances/template.html	Yes	Yes	Fillable Fileable

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: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	410	13	397
Annual IC Time Burden (Hours)	1,274	129	1,145
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.

OSHA's Alliance Program (Public Sector)

Occupational Safety and Health Administration Alliance Program

OMB: 1218-0274

IC ID: 234835

View Information Collection (IC)