Occupational Noise Exposure

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0120 can be found here:

Documents and Forms

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no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

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IC Title:	Occupational Noise Exposure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 62.171(b) 30 CFR 62.110(d) 30 CFR 62.130(a) 30 CFR 62.172(a)(1)&(a)(2) 30 CFR 62.174(a) 30 CFR 62.175(a)(1)&(a)(2) 30 CFR 62.180(b) 30 CFR 62.190(a)&(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,245	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	207,633	-557,120	764,753
Annual IC Time Burden (Hours)	14,291	-69,855	84,146
Annual IC Cost Burden (Dollars)	34,327	-5,437,722	5,472,049

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.