Exploring Differences in SOII and Worker's Compensation Data

Cognitive and Psychological Research

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.