Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8)

ICR 200203-1218-001

OMB: 1218-0007

Federal Form Document

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ICR Details
1218-0007 200203-1218-001
Historical Active 200005-1218-001
DOL/OSHA
Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/07/2002
Retrieve Notice of Action (NOA) 03/07/2002
  Inventory as of this Action Requested Previously Approved
03/31/2002 03/31/2002 07/31/2003
3,064 0 3,064
766 0 766
0 0 0

All workplace fatalities and incidents involving the in-patient hospitalization of three or more employees must be reported to OSHA to allow the agency to schedule an inspection/investigation of the occurrance. Such reporting is required by regulation.

None
None


No

1
IC Title Form No. Form Name
Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8)

  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 3,064 3,064 0 0 0 0
Annual Time Burden (Hours) 766 766 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.
03/07/2002


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