1625-0063 Calc-sheet

1625-0063
Appendix A: Estimated Annual Burden on Industry
Information Collection Category Annual Response
Initial Exposure Monitoring
0.1
Periodic Exposure Monitoring
0.5
Additional Exposure Monitoring
0.1
Notification of Exposure Monitoring Annual Response
Written notification preparation
0.5
Prep, Copy, Distribute
0.5
Written Exposure Reduction Programs Annual Response
Preparation of Written Program
0.1
Type Program
0.1
Written Respiratory Protection Programs Annual Response
Preparation of Written Program
0.09
Type Program
0.09
Fit to Wear Respirator Annual Response
Annual Medical Monitoring - Physician
2
Annual Medical Monitoring - Employee
2
Respirator Fit Testing Records Annual Response
prep, test, record preparation
10
employee time for test
10
Medical Monitoring Annual Response
Exam Cost - Physician Time
12.5
Exam Cost - Employee Time
12.5
Exam Cost - Technician Time
12.5
Outside Lab Costs
12.5
Annual Response
Information for Physicians
12.5
Material Safety Data Sheets
35
Employee Training
16.5

Total Responses Hours Hourly Wage
20
120
$85
100
40
$85
20
40
$85
Total Responses Hours Hourly Wage
100
1
$85
100
3
$48
Totals:
Total Responses Hours Hourly Wage
20
40
$85
20
2
$48
Totals:
Total Responses Hours Hourly Wage
18
24
$85
18
2
$48
Totals:
Total Responses Hours Hourly Wage
400
0.5
$253
400
0.5
$94
Totals:
Total Responses Hours Hourly Wage
2,000
2.67
$61
2,000
2
$94
Totals:
Total Responses Hours Hourly Wage
2,500
1
$253
2,500
4
$94
2,500
1
$61
2,500
$220
Totals:
Total Responses Hours Hourly Wage
2,500
1
$61
7,000
0.25
$48
3,301
0.083
$61

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Respondents:
Annual Hour
2,400
4,000
800
Annual Hour
100
300
400
Annual Hour
800
40
840
Annual Hour
432
36
468
Annual Hour
200
200
400
Annual Hour
5,333
4,000
9,333
Annual Hour
2,500
10,000
2,500
15,000
Annual Hour
2,500
1,750
274

200
Annual Cost
$204,000
$340,000
$68,000
Annual Cost
$8,500
$14,400
$22,900
Annual Cost
$68,000
$1,920
$69,920
Annual Cost
$36,720
$1,728
$38,448
Annual Cost
$50,600
$18,800
$69,400
Annual Cost
$325,313.00
$376,000.00
$701,313
Annual Cost
$632,500
$940,000
$152,500
$550,000
$2,275,000
Annual Cost
$152,500
$84,000
$16,714

1625-0063

Appendix B: Estimated Annual Burden on Industry - Summary
Information Collection
Category
Initial Exposure Monitoring
Periodic Exposure
Monitoring
Additional Exposure
Monitoring
Notification of Exposure
Monitoring
Written Exposure Reduction
Programs
Written Respiratory
Protection Programs
Fit to Wear Respirator
Respirator Fit Testing
Records
Medical Monitoring
Information for Physicians
Material Safety Data Sheets
Employee Training
Totals:

Total
Responses
20

Hour Burden Cost Burden
2,400

$204,000

100

4,000

$340,000

20

800

$68,000

200

400

$22,900

40

840

$69,920

36

468

$38,448

800

400

$69,400

4,000

9,333

$701,313

10,000
2,500
7,000
3,301
28,017

15,000
$2,275,000
2,500
$152,500
1,750
$84,000
274
$16,714
38,165
$4,042,195
Per Company: $20,211

Appendix C: Estimated Annual Federal Government Cost
Requirement
Benzene record reviews
Totals

Responses
1,000

Hours /
Response
0.08333

Total Cost Burden
$7,476
*Estimates may not sum due to rounding

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Annual Hours Wage Rate
84

$89

Annual Cost
$7,476
$7,476