Hoist Operators' Physical Fitness

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Hoist Operators' Physical Fitness	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 57.19057 30 CFR 56.19057

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: 75	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	375	25	350
Annual IC Time Burden (Hours)	13	1	12
Annual IC Cost Burden (Dollars)	187,500	30,000	157,500

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.