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Log And Summary Of Occupational Injuries And Illnesses/ Supplementary Record Of Occupational Injuries And Illnesses
LOG AND SUMMARY OF OCCUPATIONAL INJURIES AND ILLNESSES/ SUPPLEMENTARY RECORD OF OCCUPATIONAL INJURIES AND ILLNESSES
OMB: 1220-0029
IC ID: 123564
OMB.report
DOL/BLS
OMB 1220-0029
ICR 198407-1220-003
IC 123564
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0029 can be found here:
1991-08-07 - Reinstatement with change of a previously approved collection
1989-04-18 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
LOG AND SUMMARY OF OCCUPATIONAL INJURIES AND ILLNESSES/ SUPPLEMENTARY RECORD OF OCCUPATIONAL INJURIES AND ILLNESSES
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OSHA 200
No
No
Form
OSHA 101
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,850,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,850,000
0
0
0
0
4,850,000
Annual IC Time Burden (Hours)
479,900
0
0
0
0
479,900
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.