Information Collection

Voluntary Protection Program, Special Government Employee

IC 14302 under ICR 202607-1218-001 · OMB 1218-0239.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSHA-VPP-SGE-1 SGE Application (General Eligibility Information Sheet) Voluntary Protection Program, Special Government Employee	Form
OSHA-VPP-SGE-1 SGE Application (General Eligibility Information Sheet) SGE Eligibility and Activity Information Sheet.docx	Form

IC Title:

Agency IC Tracking Number:

1218-0239 (2026)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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
Form	OSHA-VPP-SGE-1				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title: DOL/OSHA-6

FR Citation: 81 FR 25766

Number of Respondents: 466

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 15 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,081	282	1,799
Annual IC Time Burden (Hours)	1,460	-65,960	67,420
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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