Public Sector - Voluntary

Survey of Occupational Injuries and Illnesses

⚠️ Notice: This information collection may be referencing outdated material.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
Form BLS 9300 Public Sector - Voluntary Form and Instruction
2011 Prenote Leaflet E-blank rev.docx Instruction
BLS 9300 N06 SOII 1st Mailing 2010 SOII First Mailing rev.docx Form and Instruction
BLS 9300 IDCF SOII IDCF First Mailing 2010 SOII IDCF First Mailing rev.docx Form and Instruction
BLS 9300 SOII Adobe Form 2010 Adobe fillable form example.pdf Form and Instruction
BLS 9300 FAX SOII Fax form Fax Collection Form 2010 - AL.pdf Form and Instruction
BLS 9300 BLS IDCF and SOII Instrument Screen Shots BLS IDCF and SOII Instrument.pdf Form and Instruction
2011 Voluntary Public Sector Units Letter for Pre-Notification.pdf Voluntary Pre Notification Letter IC Document
2010 Voluntary Public Sector Units First Non-Response Letter.pdf Voluntary 1st non-response letter IC Document
2010 Voluntary Public Sector Units Second Non-Response Letter.pdf Voluntary 2nd Non-Response Letter IC Document

Information Collection (IC) Details

IC Title:	Public Sector - Voluntary	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 9300	SOII Adobe Form	2010 Adobe fillable form example.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX	SOII Fax form	Fax Collection Form 2010 - AL.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300	BLS IDCF and SOII Instrument Screen Shots	BLS IDCF and SOII Instrument.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 IDCF	SOII IDCF First Mailing	2010 SOII IDCF First Mailing rev.docx	Yes	Yes	Fillable Fileable
Instruction			2011 Prenote Leaflet E-blank rev.docx	Yes	Yes	Fillable Printable
Form and Instruction	BLS 9300 N06	SOII 1st Mailing	2010 SOII First Mailing rev.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	11,849	11,849
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Voluntary Pre Notification Letter	2011 Voluntary Public Sector Units Letter for Pre-Notification.pdf	05/04/2010
Voluntary 1st non-response letter	2010 Voluntary Public Sector Units First Non-Response Letter.pdf	05/04/2010
Voluntary 2nd Non-Response Letter	2010 Voluntary Public Sector Units Second Non-Response Letter.pdf	05/04/2010

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