Information Collection

BLS Occupational Safety and Health Statistics (OSHS) Cooperative Agreement (CA) Application Package

IC 43815 under ICR 200607-1220-001 · OMB 1220-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0149 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Generic OSHS Work BLS Occupational Safety and Health Statistics (OSHS) Cooperative Agreement (CA) Application Package	Form and Instruction
Generic OSHS Work Generic OSHS Work Statements Generic OSHS Package.doc	Form and Instruction

IC Title:

BLS Occupational Safety and Health Statistics (OSHS) Cooperative Agreement (CA) Application Package

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Generic OSHS Work Statements	Generic OSHS Work Statements	Generic OSHS Package.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	280	280
Annual IC Time Burden (Hours)	336	336
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.