Contractor Safety

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BPA F 6410.18e CONTRACTOR’S REPORT OF INCIDENT/NEAR-HIT	Form	Modified	Available
Form BPA F 6410.42e CONTRACT ENERGIZED ELECTRICAL WORK PERMIT	Form and Instruction	Modified	Available
Form BPA F 6410.15e CONTRACTOR’S REPORT OF INJURY OR ILLNESS	Form	Modified	Available
Form BPA F 5480.28e EXCAVATION / TRENCHING PERMIT	Form	Modified	Available
Justification for Change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2026-06-11	Available
Supporting Statement Contractor Safety- Final.docx	Supporting Statement A	Uploaded 2023-01-08	Available
30-day FRN 11-14-22.pdf	Supplementary Document	Uploaded 2023-01-08	Available
60-day FRN 8-30-22.pdf	Supplementary Document	Uploaded 2023-01-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257819	Contractor Safety	Form	Modified	CONTRACTOR’S REPORT OF INCIDENT/NEAR-HIT
257819	Contractor Safety	Form and Instruction	Modified	CONTRACT ENERGIZED ELECTRICAL WORK PERMIT
257819	Contractor Safety	Form	Modified	CONTRACTOR’S REPORT OF INJURY OR ILLNESS
257819	Contractor Safety	Form	Modified	EXCAVATION / TRENCHING PERMIT

ICR Details

OMB Control No: 1910-5203	ICR Reference No: 202606-1910-001
Status: Received in OIRA	Previous ICR Reference No: 202301-1910-001
Agency/Subagency: DOE/DOEOA	Agency Tracking No: Stephanie Noell
Title: Contractor Safety
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/16/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	07/31/2027	07/31/2027
Responses	190	190
Time Burden (Hours)	50	50
Cost Burden (Dollars)	2,018	2,018

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Abstract: The information collected in these documents is used to track and manage contractor safety programs and ensure that all safety measures are in place for work that is inherently risky. This collection is necessary to comply with OSHA safety regulations for contracted workforce.

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Authorizing Statute(s): US Code: 42 USC Chapter 84, Section 7101 Name of Law: Department of Energy Standardization Act of 1997
   US Code: 16 USC 832a Name of Law: The Bonneville Project Act of 1937
   US Code: 29 USC Chapter 15, sections 657 Name of Law: Inspections, investigations, and recordkeeping
  

Citations for New Statutory Requirements: US Code: 29 USC Chapter 15, sections 657 Name of Law: Inspections, investigations, and recordkeeping
US Code: 16 USC 832a Name of Law: The Bonneville Project Act of 1937

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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:
	87 FR 52945	08/30/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 68146	11/14/2022
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
Contractor Safety	BPA F 5480.28e, BPA F 6410.15e, BPA F 6410.42e, BPA F 6410.18e	EXCAVATION / TRENCHING PERMIT ,   CONTRACTOR’S REPORT OF INJURY OR ILLNESS ,   CONTRACT ENERGIZED ELECTRICAL WORK PERMIT ,   CONTRACTOR’S REPORT OF INCIDENT/NEAR-HIT

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	190	190	0	0	0	0
Annual Time Burden (Hours)	50	50	0	0	0	0
Annual Cost Burden (Dollars)	2,018	2,018	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: This is a new collection.

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Annual Cost to Federal Government: $7,881

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.     Yes

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.     Yes

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: 07/16/2026

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