Notice of Alleged Safety or Health Hazards (OSHA-7 Form)

ICR 202408-1218-008

OMB: 1218-0064

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2024-09-03
Supplementary Document
2024-07-03
Supplementary Document
2024-07-03
Supplementary Document
2024-07-03
Supplementary Document
2024-07-03
Supporting Statement A
2024-07-22
IC Document Collections
ICR Details
1218-0064 202408-1218-008
Received in OIRA 202407-1218-004
DOL/OSHA 1218-0064 (2024)
Notice of Alleged Safety or Health Hazards (OSHA-7 Form)
No material or nonsubstantive change to a currently approved collection   No
Regular 09/03/2024
  Requested Previously Approved
08/31/2027 08/31/2027
120,183 120,183
35,783 35,783
1,705 1,705

The OSHA-7 Form is used by OSHA personnel to report unhealthful and/or unsafe conditions in the workplace. The information is given to OSHA by employees who wish to report unhealthful and/or unsafe conditions at their place of employment. Employee reports are authorized by Section 8(f)(1) of the OSH Act. This information is used by OSHA to evaluate the alleged hazards and to schedule an inspection. The form is available in English and Spanish.

US Code: 29 USC 651 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 657 Name of Law: Occupational Safety and Health Act
  
None

Not associated with rulemaking

  89 FR 34273 04/30/2024
89 FR 59938 07/24/2024
No

1
IC Title Form No. Form Name
Notice of Alleged Safety or Health Hazards (OSHA-7 Form) OSHA -7(English downloadable), OSHA -7(Spanish downloadable), OSHA -7(English online), OSHA -7(Spanish online) Notice of Alleged Safety and Health Hazards (downloadable) ,   Notificacion de una Queja en Seguridad y Salud ,   OSHA Online Complaint Form - Notice of Alleged Safety and Health Hazard ,   Notificacion de Alegacion de Riesgos a la Seguridad o Salud

  Total Request 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 120,183 120,183 0 0 0 0
Annual Time Burden (Hours) 35,783 35,783 0 0 0 0
Annual Cost Burden (Dollars) 1,705 1,705 0 0 0 0
No
No

$584,348
No
    No
    No
No
No
No
No
Joann Green 202 693-1737 green.joann@dol.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/03/2024


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