Census of Fatal Occupational Injuries

ICR 200112-1220-002

OMB: 1220-0133

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
14630 Migrated
ICR Details
1220-0133 200112-1220-002
Historical Active 199810-1220-002
DOL/BLS
Census of Fatal Occupational Injuries
Extension without change of a currently approved collection   No
Regular
Approved without change 02/21/2002
Retrieve Notice of Action (NOA) 12/19/2001
  Inventory as of this Action Requested Previously Approved
02/28/2005 02/28/2005 02/28/2002
27,500 0 27,500
5,000 0 5,000
0 0 0

The Census of Fatal Occupational Injuries provides policymakers and the public with comprehensive, verifiable, and timely measures of fatal work injuries. Data are compiled from various Federal, State, and local sources and include information on how the incident occurred as well as various characteristics of the employer and the deceased worker. This information is used for surveillance of fatal work injuries and for developing prevention strategies.

None
None


No

1
IC Title Form No. Form Name
Census of Fatal Occupational Injuries BLS-CFOI-1

  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 27,500 27,500 0 0 0 0
Annual Time Burden (Hours) 5,000 5,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
Yes Part B of Supporting Statement
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.
12/19/2001


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