Survey of Occupational Injuries and Illnesses - Private Sector

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⚠️ Notice: This information collection may be referencing outdated material.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 N06 Survey of Occupational Injuries and Illnesses - Private Sector Form and Instruction
BLS 9300 IDCF IDCF 1st Mailing (non DJTR) 2011 SOII instructions sheet - nonDJTR.pdf Form and Instruction
BLS 9300 N06 SOII 1st Mailing 2010 SOII First Mailing rev.docx Form and Instruction
9300 IDCF BLS IDCF and SOII Instrument Screen Shots BLS IDCF and SOII Instrument.pdf Form and Instruction
BLS 9300 N06 Adobe Fillable 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 N06 Spani SOII Spanish Book 1st Non-Response 2010 SOII Spanish Data Collection Book First Non-Response.pdf Form and Instruction
BLS 9300 N06 Spani SOII Spanish Book Second Non Response 2010 SOII Spanish Data Collection Book Second Non-Response.pdf Form and Instruction
BLS 9300 N06 Spani SOII Spanish Data Collection Book 2010 SOII Spanish Data Collection Book.pdf Form and Instruction
BLS 9300 IDCF IDCF 1st Mailing (DJTR) 2011 SOII instructions sheet - DJTR.pdf Form and Instruction
2011 Mandatory Units Pre-Notification.pdf Mandatory Pre-Units Notification IC Document
2010 Mandatory Units First Non-Response letter.pdf Mandatory 1st Unit Non-Response Letter IC Document
2010 Internet pamphlet rev.docx Internet Pamphlet IC Document
2012 Prenote Leaflet.pdf 2012 Prenote Leaflet IC Document

Information Collection (IC) Details

IC Title:	Survey of Occupational Injuries and Illnesses - Private Sector	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 9300 N06	SOII 1st Mailing	2010 SOII First Mailing rev.docx	No		Fillable Fileable
Form and Instruction	9300 IDCF	BLS IDCF and SOII Instrument Screen Shots	BLS IDCF and SOII Instrument.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 IDCF	IDCF 1st Mailing (DJTR)	2011 SOII instructions sheet - DJTR.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06 Spanish	SOII Spanish Book 1st Non-Response	2010 SOII Spanish Data Collection Book First Non-Response.pdf	No		Fillable Fileable
Form and Instruction	BLS 9300 N06 Spanish	SOII Spanish Book Second Non Response	2010 SOII Spanish Data Collection Book Second Non-Response.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06 Spanish	SOII Spanish Data Collection Book	2010 SOII Spanish Data Collection Book.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06	Adobe Fillable Form	2010 Adobe fillable form example.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 IDCF	IDCF 1st Mailing (non DJTR)	2011 SOII instructions sheet - nonDJTR.pdf	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: 220,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	220,000	220,000
Annual IC Time Burden (Hours)	315,000	315,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mandatory Pre-Units Notification	2011 Mandatory Units Pre-Notification.pdf	05/04/2010
Mandatory 1st Unit Non-Response Letter	2010 Mandatory Units First Non-Response letter.pdf	05/04/2010
Internet Pamphlet	2010 Internet pamphlet rev.docx	09/20/2010
2012 Prenote Leaflet	2012 Prenote Leaflet.pdf	09/22/2011

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