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Oregon OSHA VPP Application Parts A and B

This application is lengthy. Please gather all of the information listed on the VPP Application Information page before starting.

Once Parts A and B are finished, continue on to Parts C through F of the application.



info This Oregon Form is based on the Federal Form OMB Control Number: 1218-0239. Public reporting burden for this collection of information is estimated to average 5 hours per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Directorate of Cooperative and State Program U.S. Department of Labor, 200 Constitution Ave., Suite N3700 NW, Washington, DC 20210-4537 and reference the OMB Control Number 1218-0239.