Information Collection

Survey of Occupational Injuries and Illnesses - Private Sector

IC 38596 under ICR 201109-1220-003 · OMB 1220-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0045 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS 9300 IDCF IDCF 1st Mailing (non DJTR) Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS 9300 N06 SOII 1st Mailing Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form 9300 IDCF BLS IDCF and SOII Instrument Screen Shots Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS 9300 N06 Adobe Fillable Form Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS 9300 FAX SOII Fax Form Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS 9300 N06 Spani SOII Spanish Book 1st Non-Response Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS 9300 N06 Spani SOII Spanish Book Second Non Response Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS 9300 N06 Spani SOII Spanish Data Collection Book Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS 9300 IDCF IDCF 1st Mailing (DJTR) 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

View Information Collection (IC)

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 9300 IDCF	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06	No		Fillable Fileable
Form and Instruction	9300 IDCF	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06 Spanish	No		Fillable Fileable
Form and Instruction	BLS 9300 N06 Spanish	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06 Spanish	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 IDCF	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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, Not-for-profit institutions, Farms

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Mandatory Pre-Units Notification		05/04/2010
Mandatory 1st Unit Non-Response Letter		05/04/2010
Internet Pamphlet		09/20/2010
2012 Prenote Leaflet		09/22/2011

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

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