SUPPLEMENTARY DATA SYSTEM

ICR 198005-1220-003

OMB: 1220-0041

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
123628 Migrated
ICR Details
1220-0041 198005-1220-003
Historical Active 197607-1220-003
DOL/BLS
SUPPLEMENTARY DATA SYSTEM
Revision of a currently approved collection   No
Regular
Approved without change 06/17/1980
Retrieve Notice of Action (NOA) 05/22/1980
  Inventory as of this Action Requested Previously Approved
06/30/1984 06/30/1984 06/30/1980
36 0 28
395,200 0 172,800
0 0 0

THIS IS AN ANNUAL SURVEY WHICH MEASURES THE INCIDENCE OF INJURIES AND ILLNESSES. AS A SUPPLEMENT TO THE ANNUAL SURVEY, IT DEVELOPS INFORMATION ON THE CHARACTERISTICS OF WORK-RELATED INJURIES AND ILLNESSES.

None
None


No

1
IC Title Form No. Form Name
SUPPLEMENTARY DATA SYSTEM BLS 99

  Total Approved 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 36 28 0 0 8 0
Annual Time Burden (Hours) 395,200 172,800 0 0 222,400 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
05/22/1980


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