Voluntary Protection Program, Special Government Employee

Voluntary Protection Program Information

Documents and Forms

Document Name Document Type
SGE Application Documents.docx Instruction
SGE Application Documents.docx Instruction
Challenge Participant Tracking-Construction Track.xlsx Instruction
Challenge Participant Tracking-Construction Track.xlsx Instruction
Challenge Participant Tracking-General Industry.xlsx Instruction
Challenge Participant Tracking-General Industry.xlsx Instruction
Challenge Administrator Application 5-2-2024.docx Instruction
Challenge Administrator Application 5-2-2024.docx Instruction
Challenge Administrator Application Sample Letter of Commitment.docx Instruction
Challenge Administrator Application Sample Letter of Commitment.docx Instruction
OSHA-Challenge-Participant-Application.docx Instruction
OSHA-Challenge-Participant-Application.docx Instruction

Information Collection (IC) Details

IC Title:	Voluntary Protection Program, Special Government Employee	Agency IC Tracking Number:	1218-0239(2024)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	SGE Application Documents.docx	Yes	Yes	Fillable Fileable
Instruction	Challenge Participant Tracking-Construction Track.xlsx	Yes	Yes	Fillable Fileable
Instruction	Challenge Participant Tracking-General Industry.xlsx	Yes	Yes	Fillable Fileable
Instruction	Challenge Administrator Application 5-2-2024.docx	Yes	Yes	Fillable Fileable
Instruction	Challenge Administrator Application Sample Letter of Commitment.docx	Yes	Yes	Fillable Fileable
Instruction	OSHA-Challenge-Participant-Application.docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,799	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,799	-1,038	2,837
Annual IC Time Burden (Hours)	67,420	-20,596	88,016
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.