Challenge Administrator

Voluntary Protection Program Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0239 can be found here:

Documents and Forms

Document Name Document Type
Challenge Administrator Application -(2014).doc www.osha.gov/dcsp/vpp/challenge/appandinstruct.html#top Instruction
Challenge Administrator Annual Summary Report.xls www.osha.gov/dcsp/vpp/challenge/appandinstruct.html#top Instruction

Information Collection (IC) Details

IC Title:	Challenge Administrator	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Challenge Administrator Application -(2014).doc	https://www.osha.gov/dcsp/vpp/challenge/appandinstruct.html#top	Yes	Yes	Fillable Fileable
Instruction			Challenge Administrator Annual Summary Report.xls	https://www.osha.gov/dcsp/vpp/challenge/appandinstruct.html#top	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19	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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,005	800	205
Annual IC Time Burden (Hours)	13,625	9,600	4,025
Annual IC Cost Burden (Dollars)	0	0	0

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.