Pilot Study and Prospective Analysis of the Draft Revised Form 33, Safety and Health Program Assessment Worksheet

ICR 202501-1218-004

OMB: 1218-0280

Federal Form Document

Forms and Documents

Document Name	Status
Form Form 33 Estimated Respondent (State Consultation Programs) Hour and Cost Burden for Pilot Study Form and Instruction	Modified
Pilot Study-form 33_1218-0280 Sup St A_4-9-25 ROCIS.docx Supporting Statement A	2025-04-09
OSHA Act Section 2- 29 USC 651.pdf Supplementary Document	2025-01-13
OSH Act Section 21(d) - 29 USC 670.pdf Supplementary Document	2025-01-13
eCFR 29 PART 1908.pdf Supplementary Document	2025-01-13
1218-0NEW Pilot Study Procedures 100220 (3-22-2021 DCSP-OSBA).docx Supplementary Document	2025-01-13
60 day FR notice 1-13-25.pdf Supplementary Document	2025-01-13
Pilot Study Form 33_ 1218-0280 Sup St B _3-27-25 ROCIS.docx Supporting Statement B	2025-04-09

IC Document Collections

IC ID	Document Title	Status
252436	Summary of Estimated Respondent (Employer) Hour and Cost Burden	Modified
252151	Estimated Respondent (State Consultation Programs) Hour and Cost Burden for the Prospective Analysis	Modified
252096	Estimated Respondent (State Consultation Programs) Hour and Cost Burden for Pilot Study Form and Instruction	Modified