Census of Fatal Occupational Injuries - State, local, and tribal government

Census of Fatal Occupational Injuries

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0133 can be found here:

Documents and Forms

Document Name Document Type
Form BLS CFOI-1 Census of Fatal Occupational Injuries - State, local, and tribal government Form and Instruction
BLS CFOI-1 Census of Fatal Occupational Injuries Report BLS CFOI-1.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Census of Fatal Occupational Injuries - State, local, and tribal government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS CFOI-1	Census of Fatal Occupational Injuries Report	BLS CFOI-1.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: 370	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	18,820	18,820
Annual IC Time Burden (Hours)	3,162	3,162
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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