1,3-Butadiene Standard (29 CFR 1910.1051)

Forms and Documents

Document Name	Status
Form 29 CFR 1910.1051 A 1,3-Butadiene (29 CFR 1910.1051) Appendix F Form and Instruction	New
1218-0170 Butadiene_SSA 3.12.20 FINAL (ROCIS) ver1.docx Supporting Statement A	2020-03-12
Rocis Butadiene '19.docx Supplementary Document	2020-02-11
OSH Sec.657('19).pdf Supplementary Document	2019-12-10
OSH Sec.655 ('19).pdf Supplementary Document	2019-12-10
OSHA Sec.651('19).pdf Supplementary Document	2019-12-10

IC Document Collections

IC ID	Document Title	Status
240175	1,3-Butadiene (29 CFR 1910.1051) Appendix F Form and Instruction	New
14103	1,3-Butadiene (29 CFR 1910.1051)	Modified

ICR Details

OMB Control No: 1218-0170	ICR Reference No: 201912-1218-007
Status: Active	Previous ICR Reference No: 201809-1218-006
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0170 (2020)
Title: 1,3-Butadiene Standard (29 CFR 1910.1051)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/14/2020
	Date Received in OIRA: 03/27/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	07/31/2020
Responses	3,233	0	3,649
Time Burden (Hours)	887	0	915
Cost Burden (Dollars)	91,296	0	112,808

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Abstract: The purpose of this standard and its information collection requirements is to provide protection for workers from the adverse health effects associated with occupational exposure to 1,3-Butadiene.

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 71477	12/27/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 17364	03/27/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
1,3-Butadiene (29 CFR 1910.1051) Appendix F	29 CFR 1910.1051 Appendix F	APPENDIX F TO § 1910.1051—MEDICAL QUESTIONNAIRES (NON-MANDATORY))
1,3-Butadiene (29 CFR 1910.1051)

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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	3,233	3,649	0	0	-416	0
Annual Time Burden (Hours)	887	915	0	0	-28	0
Annual Cost Burden (Dollars)	91,296	112,808	0	0	-21,512	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: The Agency is adjusting the burden hours by 28 hours from 915 hours to 887 burden hours. The adjustment is a result of a 34% decrease in the number of facilities /industrial sectors as well as the total number of job categories in all facilities. Also, the total annual cost burden decreased from $112,808 to $91,296 for an annual decrease of $21,512. Although there was a 9% decrease in the price of professional medical services from 2015 to 2018, there was also a decrease in industrial sectors and job services. .

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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? No

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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: 03/27/2020

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