Public Sector - Voluntary

Survey of Occupational Injuries and Illnesses

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form IDCF Public Sector - Voluntary Form and Instruction
2014 SOII instructions sheet - Vol.pdf Instruction
IDCF IDCF Screen Shots IDCF-SOII_ Screen Shots.docx Form and Instruction
SOII PDF SOII PDF SOII PDF Form 2012.docx Form and Instruction
IDCF IDCF SOII 2014 update IDCF-SOII_2013-compressed.docx Form and Instruction
BLS 9300 N06 SOII Collection Form SOII_SY2014_Long_Form.pdf Form and Instruction
IDCF Screenshots SOII IDCF 2015 Screenshots (2).docx Form and Instruction
Voluntary Public Sector Letter for data collection (2).pdf Voluntary Public Sector letter for data collection IC Document
Voluntary Public Sector Letter for NR1 (2).pdf Voluntary Public Sector Letter for NR1 IC Document
Voluntary Public Sector Letter for NR2 (2).pdf Voluntary public sector letter for NR2 IC Document
Voluntary Public Sector Letter for Pre-Notification (2).pdf voltary public sector letter for Pre-Notification IC Document
2015 Vol_prenote.pdf 2015 Voluntary Prenote IC Document
2014 Internet pamphlet.pdf 2014 Internet Pamphlet IC Document

Information Collection (IC) Details

IC Title:	Public Sector - Voluntary	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	IDCF	IDCF Screen Shots	IDCF-SOII_ Screen Shots.docx	Yes	Yes	Fillable Fileable
Form and Instruction	SOII PDF	SOII PDF	SOII PDF Form 2012.docx	Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	IDCF SOII 2014 update	IDCF-SOII_2013-compressed.docx	Yes	Yes	Fillable Fileable
Instruction			2014 SOII instructions sheet - Vol.pdf	Yes	Yes	Printable Only
Form and Instruction	BLS 9300 N06	SOII Collection Form	SOII_SY2014_Long_Form.pdf	Yes	Yes	Printable Only
Form and Instruction	IDCF	Screenshots	SOII IDCF 2015 Screenshots (2).docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	12,749	12,749
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Voluntary Public Sector letter for data collection	Voluntary Public Sector Letter for data collection (2).pdf	06/11/2013
Voluntary Public Sector Letter for NR1	Voluntary Public Sector Letter for NR1 (2).pdf	06/11/2013
Voluntary public sector letter for NR2	Voluntary Public Sector Letter for NR2 (2).pdf	06/11/2013
voltary public sector letter for Pre-Notification	Voluntary Public Sector Letter for Pre-Notification (2).pdf	06/11/2013
2015 Voluntary Prenote	2015 Vol_prenote.pdf	09/08/2014
2014 Internet Pamphlet	2014 Internet pamphlet.pdf	09/10/2014

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