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⚠️ Notice: This information collection may be referencing outdated material.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 CFOI - 1 Census of Fatal Occupational Injuries - State, local, and tribal government Form and Instruction
CFOI - 1 Census of Fatal Occupational Report CFOI-1.docx 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: Modified

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	CFOI - 1	Census of Fatal Occupational Report	CFOI-1.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 345	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	Previously Approved
Annual Number of Responses for this IC	20,725	1,905	18,820
Annual IC Time Burden (Hours)	3,475	313	3,162
Annual IC Cost Burden (Dollars)	0	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.