Information Collection

30 CFR 250.1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards;

IC 186875 under ICR 201306-1014-001 · OMB 1014-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0017 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0131 BSEE- Instructions.doc www.bsee.gov/About-BSEE/Procurement-Business-Opportunities/BSEE-OCS-Operation-Forms/BSEE-OCS-Operation-Forms.aspx	Instruction
BSEE-0131 Performance Measures Data Form 0131 for FR AA04.doc www.bsee.gov/About-BSEE/Procurement-Business-Opportunities/BSEE-OCS-Operation-Forms/BSEE-OCS-Operation-Forms.aspx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

30 CFR 250.1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards;

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1928(d), (e) 30 CFR 1929

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
Instruction			Form 0131 BSEE- Instructions.doc	http://www.bsee.gov/About-BSEE/Procurement-Business-Opportunities/BSEE-OCS-Operation-Forms/BSEE-OCS-Operation-Forms.aspx	Yes	Yes	Printable Only
Form	BSEE-0131	Performance Measures Data	Form 0131 for FR AA04.doc	http://www.bsee.gov/About-BSEE/Procurement-Business-Opportunities/BSEE-OCS-Operation-Forms/BSEE-OCS-Operation-Forms.aspx	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 91

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	1,300	1,300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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