Information Collection

Safety Champions Program Participant

IC 213271 under ICR 202607-1218-001 · OMB 1218-0239.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSHA-SCP-1 SCP Sign Up Safety Champions Program Participant	Form
Form OSHA-SCP-2 OSHA SCP Tracker Safety Champions Program Participant	Form and Instruction
SCP Landing Page w PA Statement.pdf www.osha.gov/safety-champions/	Other-Webpage
OSHA-SCP-1 SCP Sign Up OSHA Safety Champions Program Registratoin.jpeg www.osha.gov/safety-champions/registration	Form
OSHA-SCP-2 OSHA SCP Tracker OSHA SCP Tracker.xlsx	Form and Instruction

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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSHA-SCP-1	https://www.osha.gov/safety-champions/registration	Yes	Yes	Fillable Fileable
Form and Instruction	OSHA-SCP-2		Yes	Yes	Fillable Fileable
Other-Webpage		https://www.osha.gov/safety-champions/	Yes	No	Printable Only

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: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,000	5,940	60
Annual IC Time Burden (Hours)	15,500	14,510	990
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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