Information Collection

Survey of Occupational Injuries and Illnesses - Private Sector

IC 38596 under ICR 201412-1220-001 · OMB 1220-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0045 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS 9300 Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
2014 SOII instructions sheet - DJTR.pdf	Instruction
2014 SOII instructions sheet - nonDJTR.pdf	Instruction
BLS-9300 IDCF - 2014.pdf	Instruction
BLS 9300 Survey Of Occupational Injuries and Illnesses SOII PDF Form 2012.docx	Form and Instruction
IDCF IDCF Screenshots IDCF-SOII_ Screen Shots.docx	Form and Instruction
IDCF SOII IDCF Screenshots 2014 updates IDCF-SOII_2013-compressed.docx	Form and Instruction
BLS-9300 N06 SOII Long Form SOII_SY2014_Long_Form.pdf	Form and Instruction
BLS-9300 N06 SOII Spanish version BLS-9300 N06 - SOII Spanish version.pdf	Form and Instruction
BLS 9300 N06 SOII Spanish NR1 BLS 9300 N06 -SOII Spanish Data Collection Book NR1.pdf	Form and Instruction
BLS 9300 N06 SOII Spanish 2nd nonresponse BLS 9300 N06 - SOII Spanish Data Collection Book NR2.pdf	Form and Instruction
BLS 9300 FAX SOII FAX Response Form BLS-9300 FAX - SOII Fax Response Form.pdf	Form and Instruction
Mandatory DJTR letter data collection.pdf 2013 Data Collection Letter DJTR - Mandatory	IC Document
2013 Non-Response letter 1 DJTR.pdf Non Response Letter 1 DJTR - Manadatory	IC Document
2013 Non-Response letter 2 DJTR.pdf Non Response Letter 2 DJTR - Mandatory	IC Document
Non-Response letter 1 - Mandatory.pdf Non Response Letter 1 - non DJTR - Mandatory	IC Document
Non-Response letter 2 - mandatory.pdf Non Reponse Letter 2 non DJTR - Mandatory	IC Document
2014 Mandatory Pre-Notification-DJTR.pdf 2014 Pre-note DJTR Mandatory	IC Document
Mandatory DJTR letter data collection.pdf 2014 Mandatory Data Collection DJTR	IC Document
2015 Mandatory_prenote.pdf 2015 Manadatory Prenote	IC Document
2015 Prenote Leaflet.pdf 2015 Prenote leaflet	IC Document
2014 Internet pamphlet.pdf 2014 Internet pamphlet	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Survey of Occupational Injuries and Illnesses - Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

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	BLS 9300	Survey Of Occupational Injuries and Illnesses	SOII PDF Form 2012.docx	Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	IDCF Screenshots	IDCF-SOII_ Screen Shots.docx	Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	SOII IDCF Screenshots 2014 updates	IDCF-SOII_2013-compressed.docx	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-9300 N06	SOII Long Form	SOII_SY2014_Long_Form.pdf	Yes	Yes	Fillable Printable
Form and Instruction	BLS-9300 N06	SOII Spanish version	BLS-9300 N06 - SOII Spanish version.pdf	Yes	Yes	Fillable Printable
Form and Instruction	BLS 9300 N06	SOII Spanish NR1	BLS 9300 N06 -SOII Spanish Data Collection Book NR1.pdf	Yes	Yes	Fillable Printable
Form and Instruction	BLS 9300 N06	SOII Spanish 2nd nonresponse	BLS 9300 N06 - SOII Spanish Data Collection Book NR2.pdf	Yes	Yes	Fillable Printable
Instruction			2014 SOII instructions sheet - DJTR.pdf	Yes	No	Printable Only
Instruction			2014 SOII instructions sheet - nonDJTR.pdf	Yes	No	Paper Only
Form and Instruction	BLS 9300 FAX	SOII FAX Response Form	BLS-9300 FAX - SOII Fax Response Form.pdf	Yes	Yes	Fillable Fileable
Instruction			BLS-9300 IDCF - 2014.pdf	Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 220,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	220,000	220,000
Annual IC Time Burden (Hours)	315,000	315,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2013 Data Collection Letter DJTR - Mandatory	Mandatory DJTR letter data collection.pdf	06/04/2013
Non Response Letter 1 DJTR - Manadatory	2013 Non-Response letter 1 DJTR.pdf	06/04/2013
Non Response Letter 2 DJTR - Mandatory	2013 Non-Response letter 2 DJTR.pdf	06/04/2013
Non Response Letter 1 - non DJTR - Mandatory	Non-Response letter 1 - Mandatory.pdf	06/04/2013
Non Reponse Letter 2 non DJTR - Mandatory	Non-Response letter 2 - mandatory.pdf	06/04/2013
2014 Pre-note DJTR Mandatory	2014 Mandatory Pre-Notification-DJTR.pdf	06/04/2013
2014 Mandatory Data Collection DJTR	Mandatory DJTR letter data collection.pdf	06/04/2013
2015 Manadatory Prenote	2015 Mandatory_prenote.pdf	09/08/2014
2015 Prenote leaflet	2015 Prenote Leaflet.pdf	09/08/2014
2014 Internet pamphlet	2014 Internet pamphlet.pdf	09/08/2014

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