1,3-Butadiene Standard (29 CFR 1910.1051)

Forms and Documents

Document Name	Status
Form Appendix F to 1910 1,3-Butadiene (29 CFR 1910.1051) Form and Instruction	Modified
SS_1218-0170_1-3 Butadiene 08-10-16.docx Supporting Statement A	2016-08-11
OSHA Access to Employee Medical Records.docx Supplementary Document	2015-12-29
Rules of Agency Prac. & Procedures.docx Supplementary Document	2015-12-29
Respiratory Protection ('15).docx Supplementary Document	2015-12-29
1,3 Butadiene Standard ('15).docx Supplementary Document	2015-12-29
OSH Act Section 8 USC 657.pdf Supplementary Document	2015-12-28
OSH Act Section 6 USC 655.pdf Supplementary Document	2015-12-28
OSH Act 651.docx Supplementary Document	2015-12-28

IC Document Collections

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

ICR Details

OMB Control No: 1218-0170	ICR Reference No: 201607-1218-021
Status: Historical Inactive	Previous ICR Reference No: 201512-1218-004
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0170(2016)SIP-IV
Title: 1,3-Butadiene Standard (29 CFR 1910.1051)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 11/22/2016
	Date Received in OIRA: 10/04/2016
Terms of Clearance: OMB is withholding approval at this time. Prior to publication of the final rule, the agency should provide a summary of any comments related to the information collection and their response, including any changes made to the ICR as a result of comments. In addition, the agency must enter the correct burden estimates.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	36 Months From Approved	07/31/2019
Responses	3,649	0	3,649
Time Burden (Hours)	915	0	915
Cost Burden (Dollars)	112,808	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. OSHA is proposing to remove the requirements for employers to collect and record an employee’s social security number (SSN) on exposure monitoring and medical surveillance records. Time to document SSN in records is negligible and therefore, the Agency is not requesting changes to the burden hour or cost estimates in this ICR.

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

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1218-AC67	Proposed rulemaking	81 FR 68504	10/04/2016

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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
1,3-Butadiene (29 CFR 1910.1051)	Appendix F to 1910.1051 , Appendix F to 1910.1051	Medical Questionaires (Non-Mandatory) - 1,3-Butadiene (BD) Initial Health Questionnaire ,   Medical Questionnaires (Non-Mandatory) 1,3-Butadiene (BD) Update Health Questionnaire

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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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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: 10/04/2016

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