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Student Data Form
Student Data Form
OMB: 1218-0172
IC ID: 14106
OMB.report
DOL/OSHA
OMB 1218-0172
ICR 202002-1218-007
IC 14106
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0172 can be found here:
2023-07-06 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form OSHA-182
Student Data Form
Form and Instruction
OSHA-182 Student Data Form
1218-0172_Student_Data_Form_with_Instructions omb 03272020.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Student Data Form
Agency IC Tracking Number:
1218-0172(2020)
Is this a Common Form?
No
IC Status:
Modified
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
Form and Instruction
OSHA-182
Student Data Form
1218-0172_Student_Data_Form_with_Instructions omb 03272020.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,000
0
0
-1,000
0
5,000
Annual IC Time Burden (Hours)
333
0
0
-67
0
400
Annual IC Cost Burden (Dollars)
0
0
0
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.