LOG AND SUMMARY OF OCCUPATIONAL INJURIES AND ILLNESSES SUPPLEMENTARY RECORD OF OCCUPATIONAL INJURIES AND ILLNESSES

ICR 198010-1220-002

OMB: 1220-0029

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1220-0029 198010-1220-002
Historical Active 197903-1220-004
DOL/BLS
LOG AND SUMMARY OF OCCUPATIONAL INJURIES AND ILLNESSES SUPPLEMENTARY RECORD OF OCCUPATIONAL INJURIES AND ILLNESSES
Revision of a currently approved collection   No
Regular
Approved without change 12/19/1980
Retrieve Notice of Action (NOA) 10/31/1980
  Inventory as of this Action Requested Previously Approved
09/30/1981 09/30/1981 12/31/1980
5,400,000 0 540,000
540,900 0 540,900
0 0 0

THE OSH ACT REQUIRES EMPLOYERS TO PREPARE AND MAINTAIN RECORDS OF OCCUPATIONAL INJURIES AND ILLNESSES. THESE RECORDS ARE NECESSARY FOR CARRYING OUT THE PURPOSES OF THE ACT. THEY ASSIST OSHA IN MAKING INSPECTIONS AND INVESTIGATIONS, PROVIDE THE BASIS FOR A STATISTICAL PROGRAM, AND RAISE AWARENESS OF EMPLOYEES AND EMPLOYERS TO WORKPLACE HAZARDS.

None
None


No

1
IC Title Form No. Form Name
LOG AND SUMMARY OF OCCUPATIONAL INJURIES AND ILLNESSES SUPPLEMENTARY RECORD OF OCCUPATIONAL INJURIES AND ILLNESSES OSHA 200, OSHA 101

  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 5,400,000 540,000 0 4,860,000 0 0
Annual Time Burden (Hours) 540,900 540,900 0 0 0 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.
10/31/1980


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