Information Collection

Classifying Employment Situations Study & SOII IDCF Usability Testing

IC 203374 under ICR 201111-1220-001 · OMB 1220-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21209 -Classifying Classifying Employment Situations Study & SOII IDCF Usability Testing	Form and Instruction
21209 -Classifying Classifying Employment Situation Vignettes and Protocol Classifying Employment Situation Vignettes and Protocol.docx	Form and Instruction
21210 - Attachment Testing Protocol SOII Usability Testing Protocol.docx	Form and Instruction
OSHA 300 Log of Work Related Injuries and Illnesses oshaforms.pdf	Form and Instruction
BLS 9300 N06 SOII Collection Instrument soii2011.pdf	Form and Instruction
OMB_package_classifying_fricker2.docx Note to Review for Classifying Employment Situations Study	IC Document
OMB_clearance_SOII-IDCF_final_revised.doc Note to Reviewer SOII IDCF Usability Testing	IC Document

IC Title:

Classifying Employment Situations Study & SOII IDCF Usability Testing

Agency IC Tracking Number:

21209 & 21210

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	21209 -Classifying Employment Situation Vignettes	Classifying Employment Situation Vignettes and Protocol	Classifying Employment Situation Vignettes and Protocol.docx	No		Printable Only
Form and Instruction	21210 - Attachments III and IV	Testing Protocol	SOII Usability Testing Protocol.docx	Yes	No	Printable Only
Form and Instruction	OSHA 300	Log of Work Related Injuries and Illnesses	oshaforms.pdf	Yes	No	Printable Only
Form and Instruction	BLS 9300 N06	SOII Collection Instrument	soii2011.pdf	No		Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 210

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	210	210
Annual IC Time Burden (Hours)	115	115
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Review for Classifying Employment Situations Study	OMB_package_classifying_fricker2.docx	07/19/2012
Note to Reviewer SOII IDCF Usability Testing	OMB_clearance_SOII-IDCF_final_revised.doc	07/19/2012

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