Notice of Alleged Safety or Health Hazards, OSHA-7 Form

Notice of Alleged Safety and Health Hazards, OSHA-7 Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0064 can be found here:

Documents and Forms

Document Name Document Type
Form OSHA-7 Notice of Alleged Safety or Health Hazards, OSHA-7 Form Form
How to File a Complaint with OSHA.mht www.osha.gov/as/opa/worker/complain.html#4 Instruction
Read Me - Instructions.mht www.osha.gov/pls/osha7/ecomplaintform.readme Instruction
OSHA-7 Notice of Alleged Safety and Health Hazards OSHA-7 (OSHA.gov, paper form).pdf www.osha.gov/pls/osha7/eComplaintForm.html Form
OSHA-7 (Web versio Notice of Alleged Safety or Health Hazards Notice of Alleged Safety or Health Hazards.mht www.osha.gov/pls/osha7/eComplaintForm.html Form and Instruction

Information Collection (IC) Details

IC Title:	Notice of Alleged Safety or Health Hazards, OSHA-7 Form	Agency IC Tracking Number:	1218-0064(2011)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1903.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSHA-7	Notice of Alleged Safety and Health Hazards	OSHA-7 (OSHA.gov, paper form).pdf	http://www.osha.gov/pls/osha7/eComplaintForm.html	Yes	Yes	Fillable Fileable
Form and Instruction	OSHA-7 (Web version)	Notice of Alleged Safety or Health Hazards	Notice of Alleged Safety or Health Hazards.mht	http://www.osha.gov/pls/osha7/eComplaintForm.html	Yes	Yes	Fillable Fileable
Instruction			How to File a Complaint with OSHA.mht	http://www.osha.gov/as/opa/worker/complain.html#4	Yes	Yes	Printable Only
Instruction			Read Me - Instructions.mht	http://www.osha.gov/pls/osha7/ecomplaintform.readme	Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,715	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50,715	2,417	48,298
Annual IC Time Burden (Hours)	13,414	639	12,775
Annual IC Cost Burden (Dollars)	1,116	126	990

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.