Information Collection

Exploring Differences in SOII and Worker's Compensation Data

IC 205688 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⚠️ Notice: This information collection may be referencing outdated material.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 Attachment 2 - Exploring Differences in SOII and Worker's Compensation Data	Form and Instruction
Attachment 2 - Employer Questionnaire Attachment 2 - Employer Questionnaire.docx	Form and Instruction
Attachment 1 Solicitation Protocol Attachment 1 - Solicitation Protocol.docx	Form and Instruction
omb_SOII_2_4_13.docx Note to Reviewer	IC Document

IC Title:

Exploring Differences in SOII and Worker's Compensation Data

Agency IC Tracking Number:

21304

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment 2 -	Employer Questionnaire	Attachment 2 - Employer Questionnaire.docx		No		Paper Only
Form and Instruction	Attachment 1	Solicitation Protocol	Attachment 1 - Solicitation Protocol.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: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Note to Reviewer	omb_SOII_2_4_13.docx	02/05/2013

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