Survey of Occupational Injuries and Illnesses

Forms and Documents

Document Name	Status
Form BLS 9300 Survey of Occupational Injuries and Illnesses - Private Sector Form and Instruction	Modified
Form Attachment B SOII Workplace Injuries and Illnesses Study - State and Local Form and Instruction	Removed
Form Attachment B SOII Workplace and Injuries Study - Private Sector Form and Instruction	Removed
Form IDCF Public Sector - Voluntary Form and Instruction	Modified
Form IDCF Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory Form and Instruction	Modified
Note to Reviewer - SOII forms changes 2014.docx Justification for No Material/Nonsubstantive Change	2014-09-10
Note to Reviewer - SOII IDCF changes 2014.docx Justification for No Material/Nonsubstantive Change	2013-12-09
Report on DJTR.pdf Supplementary Document	2013-09-30
OMB 2013 Supporting Statement Part A 09-27-2013.docx Supporting Statement A	2013-09-27
OMB 1220-0045 Part B 2013-07-10.docx Supporting Statement B	2013-07-17
Secretary_Order_5-2002.doc Supplementary Document	2013-06-04
homch9.pdf Supplementary Document	2013-06-04
The growth in cases with Restricted Activity or Job Transfer.docx Supplementary Document	2013-06-04
sample_overview.pdf Supplementary Document	2013-06-04
Deriving Inputs for the Allocation of State Samples for OMB Supporting Doc.docx Supplementary Document	2013-06-04
Variance Estimation for SOII Case and Demographic Estimates.docx Supplementary Document	2013-06-04
Variance Estimation for SOII Summary Estimates.pdf Supplementary Document	2013-06-04
CIPSEA_TitleV.doc Supplementary Document	2013-05-22
Public Law 91-596.doc Supplementary Document	2013-05-22

IC Document Collections

IC ID	Document Title	Status
38596	Survey of Occupational Injuries and Illnesses - Private Sector Form and Instruction	Modified
206734	SOII Workplace Injuries and Illnesses Study - State and Local Form and Instruction	Removed
206733	SOII Workplace and Injuries Study - Private Sector Form and Instruction	Removed
192801	Public Sector - Voluntary Form and Instruction	Modified
179004	Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory Form and Instruction	Modified

ICR Details

OMB Control No: 1220-0045	ICR Reference No: 201409-1220-001
Status: Historical Active	Previous ICR Reference No: 201312-1220-001
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Survey of Occupational Injuries and Illnesses
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/29/2014
	Date Received in OIRA: 09/10/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	09/30/2016	09/30/2016
Responses	240,000	0	243,900
Time Burden (Hours)	336,166	0	338,116
Cost Burden (Dollars)	0	0	0

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Abstract: The Survey of Occupational Injuries and Illnesses is the primary indicator of the Nation's progress in providing every working man and woman safe and healthful working conditions. Survey data are also used to evaluate the effectiveness of the Federal and State programs and to prioritize scarce resources.

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Authorizing Statute(s): PL: Pub.L. 107 - 347 Title 5 Name of Law: Confidential Information Protection and Statistical Efficiency Act (CIPSEA)
   PL: Pub.L. 91 - 596 24(a) Name of Law: Occupational Safety and Health Act of 1970
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 29383	05/20/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 52564	08/23/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Survey of Occupational Injuries and Illnesses - Private Sector	IDCF, BLS 9300, IDCF, BLS-9300 N06, BLS-9300 N06, BLS 9300 N06, BLS 9300 N06, BLS 9300 FAX	Survey Of Occupational Injuries and Illnesses ,   IDCF Screenshots ,   SOII IDCF Screenshots 2014 updates ,   SOII Long Form ,   SOII Spanish version ,   SOII Spanish NR1 ,   SOII Spanish 2nd nonresponse ,   SOII FAX Response Form
Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	BLS-9300 N06, BLS 9300 N06, BLS 9300 N06, IDCF, BLS 9300, IDCF, BLS 9300 N06, BLS 9300 FAX	IDCF Screen Shots ,   Survey of Occupational Injuries and Illnesses ,   IDCF Screen shots 2014 update ,   2014 SOII Collection Form ,   SOII Collection Form - Spanish ,   Spanish Nonresponse 1 ,   Spanish Nonresponse 2 ,   SOII Fax form
Public Sector - Voluntary	BLS 9300 N06, IDCF, SOII PDF, IDCF	IDCF Screen Shots ,   SOII PDF ,   IDCF SOII 2014 update ,   SOII Collection Form
SOII Workplace and Injuries Study - Private Sector	Attachment B	Telephone Questionnaire
SOII Workplace Injuries and Illnesses Study - State and Local	Attachment B	Telephone Questionnaire

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	240,000	243,900	0	-3,900	0	0
Annual Time Burden (Hours)	336,166	338,116	0	-1,950	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The reduction in burden of 1950 hours is due to the completion of the SOII undercount study in May of 2014.

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Annual Cost to Federal Government: $19,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/10/2014

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