Asbestos in General Industry Standard

Forms and Documents

Document Name	Status
Form Appendix D to 1910 Asbestos in General Industry (29 CFR 1910.1001) Form and Instruction	Modified
1218-0133 Asbestos in General Industry 05-08-2019_SIPs IV_ ROCIS.docx Supporting Statement A	2019-05-08
OSH Act Section 8 USC 657.pdf Supplementary Document	2018-09-18
OSH Act Section 6 USC 655 (2).pdf Supplementary Document	2018-09-18
OSH Act Section 2 USC 651 (2).pdf Supplementary Document	2018-09-18

IC Document Collections

IC ID	Document Title	Status
14073	Asbestos in General Industry (29 CFR 1910.1001) Form and Instruction	Modified

ICR Details

OMB Control No: 1218-0133	ICR Reference No: 201809-1218-010
Status: Historical Active	Previous ICR Reference No: 201611-1218-005
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0133(2018)SIPIV
Title: Asbestos in General Industry Standard
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/12/2019
	Date Received in OIRA: 05/14/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2020	36 Months From Approved	04/30/2020
Responses	32,171	0	32,173
Time Burden (Hours)	11,688	0	11,688
Cost Burden (Dollars)	963,650	0	963,650

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Abstract: This standard requires employers to monitor employee exposure, provide medical surveillance, and to maintain accurate records of employee exposure to asbestos. These records will be used by employers, employees, and the Government to ensure that employees are not harmed by exposure to asbestos in the workplace.

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Authorizing Statute(s): US Code: 29 USC 655 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 657 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 651 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1218-AC67	Final or interim final rulemaking	84 FR 21416	05/14/2019

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 68504	10/04/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 68504	10/04/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Asbestos in General Industry (29 CFR 1910.1001)	Appendix D to 1910.1001	Medical Questionnaires, Mandatory

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ICR Summary of Burden

	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	32,171	32,173	0	0	-2	0
Annual Time Burden (Hours)	11,688	11,688	0	0	0	0
Annual Cost Burden (Dollars)	963,650	963,650	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/14/2019

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