Survey of Occupational Injuries and Illnesses

ICR 201109-1220-003

OMB: 1220-0045

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2011-09-21
Supporting Statement B
2010-07-01
Supporting Statement A
2010-10-06
Supplementary Document
2010-05-04
Supplementary Document
2010-04-23
Supplementary Document
2010-04-23
Supplementary Document
2010-04-23
Supplementary Document
2010-10-06
Supplementary Document
2010-04-22
Supplementary Document
2010-04-22
Supplementary Document
2010-04-22
Supplementary Document
2010-04-22
ICR Details
1220-0045 201109-1220-003
Historical Active 201004-1220-003
DOL/BLS
Survey of Occupational Injuries and Illnesses
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 10/06/2011
Retrieve Notice of Action (NOA) 09/28/2011
  Inventory as of this Action Requested Previously Approved
10/31/2013 10/31/2013 10/31/2013
240,000 0 240,000
335,266 0 335,266
0 0 0

The Survey of Occupational Injuries and Illnesses is the primary indicator of the Nation's progress in providing every working man and woman safe and healthful working conditions. Survey data are also used to evaluate the effectiveness of the Federal and State programs and to prioritize scarce resources.

PL: Pub.L. 91 - 596 24(a) Name of Law: Occupational Safety and Health Act of 1970
   PL: Pub.L. 107 - 347 Title 5 Name of Law: Confidential Information Protection and Statistical Efficiency Act (CIPSEA)
  
None

Not associated with rulemaking

  75 FR 20004 04/16/2010
75 FR 50005 08/16/2010
No

3
IC Title Form No. Form Name
Survey of Occupational Injuries and Illnesses - Private Sector BLS 9300 IDCF, 9300 IDCF, BLS 9300 N06, BLS 9300 N06 Spanish, BLS 9300 N06 Spanish, BLS 9300 IDCF, BLS 9300 N06, BLS 9300 FAX, BLS 9300 N06 Spanish SOII 1st Mailing ,   BLS IDCF and SOII Instrument Screen Shots ,   SOII Fax Form ,   IDCF 1st Mailing (DJTR) ,   SOII Spanish Book 1st Non-Response ,   SOII Spanish Book Second Non Response ,   SOII Spanish Data Collection Book ,   Adobe Fillable Form ,   IDCF 1st Mailing (non DJTR)
Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory BLS 9300 IDCF, BLS 9300, BLS 9300 IDCF, BLS 9300, BLS 9300 FAX, BLS 9300, BLS 9300, BLS 9300 N06, IDCF, BLS 9300 N06, BLS 9300 N06, BLS 9300 N06 Spanish IDCF 1st Mailing (non DJTR) ,   SOII IDCF and Instrument Screen shots ,   SOII Adobe Form ,   SOII Fax Form ,   Internet Pamphlet ,   2012 Pre-Note Leaflet ,   SOII 1st Mailing ,   IDCF 1st Mailing (DJTR) ,   SOII Spanish collection book 1st non-response ,   SOII Spanish Collection Book 2nd Non-response ,   Spanish Collection Booklet ,   SOII IDCF
Public Sector - Voluntary BLS 9300, BLS 9300, BLS 9300 N06, BLS 9300 IDCF, BLS 9300 FAX SOII IDCF First Mailing (non DJTR) ,   SOII 1st Mailing ,   SOII Adobe Form ,   SOII Fax form ,   BLS IDCF and SOII Instrument Screen Shots

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 240,000 240,000 0 0 0 0
Annual Time Burden (Hours) 335,266 335,266 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$20,400,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tom Shaffer 2026916163 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/28/2011


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