Information Collection

Survey of Occupational Injuries and Ilnesses - State and Local

IC 179004 under ICR 200806-1220-004 · OMB 1220-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0045 can be found here:

Documents and Forms

Document Name Document Type
BLS IDCF and SOII Instrument.pdf idcf.bls.gov Other-IDCF Screenshots
prenote 2008 BLS 4 pager.pdf idcf.bls.gov Instruction
2008 IDCF Flyer - final.pdf idcf.bls.gov Instruction
National Public Sector voluntary letter.pdf Instruction
SOII Government Letters.pdf Instruction
IDCF 2008 survey - second mail final.pdf idcf.bls.gov Instruction
IDCF 2008 survey - third mail final.pdf idcf.bls.gov Instruction
OSHA 300 Log of Work-Related Injuries and Illnessses OSHA Form 300 - prenote 2008 OSHA 4 pager.pdf www.osha.gov/recordkeeping/RKforms.html Form and Instruction
BLS-9300 N06 Survey of Occupational Injuries and Illnesses, 2007 BLS-9300 Survey of Occupational Injuries N 2007.pdf idcf.bls.gov Form and Instruction
BLS 9300 Survey of Occupational Injuries and Illnesses BLS-9300-FAX Survey of Occupational Injuries FAX 2007.pdf idcf.bls.gov Form and Instruction
BLS 9300 Survey of Occupational Injuries and Illnesses - Spanish BLS-9300 Spanish Survey of Occupational Injuries N 2007 .pdf idcf.bls.gov Form and Instruction
BLS 9300 IDCF Survey of Occupational Injuries and Illnesses IDCF IDCF 2008 survey - first mail final.pdf htttps://idcf.bls.gov Form and Instruction
BLS IDCF and SOII Instrument.pdf Screen shots of the IDCF IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of Occupational Injuries and Ilnesses - State and Local	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Other-IDCF Screenshots			BLS IDCF and SOII Instrument.pdf	https://idcf.bls.gov	Yes	Yes	Fillable Fileable
Form and Instruction	OSHA 300	Log of Work-Related Injuries and Illnessses	OSHA Form 300 - prenote 2008 OSHA 4 pager.pdf	http://www.osha.gov/recordkeeping/RKforms.html	Yes	No	Fillable Printable
Form and Instruction	BLS-9300 N06	Survey of Occupational Injuries and Illnesses, 2007	BLS-9300 Survey of Occupational Injuries N 2007.pdf	https://idcf.bls.gov	Yes	Yes	Fillable Fileable
Instruction			prenote 2008 BLS 4 pager.pdf	http://idcf.bls.gov	Yes	No	Printable Only
Form and Instruction	BLS 9300	Survey of Occupational Injuries and Illnesses	BLS-9300-FAX Survey of Occupational Injuries FAX 2007.pdf	https://idcf.bls.gov	Yes	No	Fillable Printable
Form and Instruction	BLS 9300	Survey of Occupational Injuries and Illnesses - Spanish version	BLS-9300 Spanish Survey of Occupational Injuries N 2007 .pdf	https://idcf.bls.gov	Yes	No	Fillable Printable
Instruction			National Public Sector voluntary letter.pdf		No		Paper Only
Instruction			SOII Government Letters.pdf		No		Paper Only
Instruction			2008 IDCF Flyer - final.pdf	https://idcf.bls.gov	Yes	No	Printable Only
Instruction			IDCF 2008 survey - second mail final.pdf	https://idcf.bls.gov	Yes	Yes	Fillable Fileable
Instruction			IDCF 2008 survey - third mail final.pdf	https://idcf.bls.gov	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 IDCF	Survey of Occupational Injuries and Illnesses IDCF	IDCF 2008 survey - first mail final.pdf	htttps://idcf.bls.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	16,660	16,660
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Screen shots of the IDCF	BLS IDCF and SOII Instrument.pdf	03/21/2007

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