OSHA Data Initiative (State,Local or Tribal Gov't)

OSHA Data Initiative (ODI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0209 can be found here:

Documents and Forms

Document Name Document Type
Form OSHA Form 196A OSHA Data Initiative (State,Local or Tribal Gov't) Form and Instruction
OSHA Form 196A OSHA Work-Related Injury and Illness Data Collections Fo OSHA Form 196A.pdf Form and Instruction
OSHA Form196B OSHA Work-Related Injury and Illness Data Collections Fo OSHA Form 196B.pdf www.osha.gov/form196/cy05.htm Form and Instruction

Information Collection (IC) Details

IC Title:	OSHA Data Initiative (State,Local or Tribal Gov't)	Agency IC Tracking Number:	1218-0209(2006)

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1904

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSHA Form 196A	OSHA Work-Related Injury and Illness Data Collections Form, 2005	OSHA Form 196A.pdf		No		Paper Only
Form and Instruction	OSHA Form196B	OSHA Work-Related Injury and Illness Data Collections Form, 2005	OSHA Form 196B.pdf	http://www.osha.gov/form196/cy05.htm	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 18 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	33	33
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.