REPORT ON CARCINOGENIC SUBSTANCES

ICR 198012-1218-007

OMB: 1218-0026

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
122474 Migrated
ICR Details
1218-0026 198012-1218-007
Historical Active
DOL/OSHA
REPORT ON CARCINOGENIC SUBSTANCES
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/27/1981
Retrieve Notice of Action (NOA) 12/29/1980
This is renamed "Report on Carcinogenic Substances." This clearance covers the following substances: SUBSTANCE 29CFR NO. OF RESPONSES REPORTING HOURS 2-Acetylamionfluorene 1910.1014(F) 50 50 Beta-Propiolactone 1910.1013(F) 50 50 Ethyleneimine 1910.1012(F) 200 200 4-Aminodiphenyl 1910.1011(F) 50 50 Benzidine 1910.1010(F) 25 75 Beta-Naphehylamine 1910.1009(F) 50 100 3, 3'ichlorobenzidine 1910.1007(F) 75 300 Bis-Chloromethyl Ether 1910.1008(F) 55 450 DOL must submit an estimate of total federal costs for this reporting requirement, including filing and analysis costs, no matter how negligible, with any request for extension or revision of this approval.
  Inventory as of this Action Requested Previously Approved
02/28/1982 02/28/1982
555 0 0
1,275 0 0
0 0 0

THESE REPORTS ARE USED TO ALERT OSHA COMPLIANCE SAFETY AND HEALTH OFFICERS TO THE PRESENCE OF REGULATED CARCINOGENIC SUBSTANCES IN THE WORKPLACE AND TO INFORM OSHA OF INCIDENTS OF EMPLOYEE EXPOSURE TO THES REGULATED CARCINOGENS.

None
None


No

1
IC Title Form No. Form Name
REPORT ON CARCINOGENIC SUBSTANCES OSHA-157

  Total Approved 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 555 0 0 555 0 0
Annual Time Burden (Hours) 1,275 0 0 1,275 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
12/29/1980


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