Reporting Occupational Injuries and Illnesses

Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)

OMB: 1218-0176

IC ID: 212582

Information Collection (IC) Details

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Reporting Occupational Injuries and Illnesses
 
No Modified
 
Mandatory
 
29 CFR 1904.39

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction OSHA 6-40.1 Serious Event Reporting Online Form Serious Event Reporting Online Form.pdf https://www.osha.gov/pls/ser/serform.html Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

119,028 0
   
Private Sector Businesses or other for-profits
 
   15 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 119,028 0 0 0 0 119,028
Annual IC Time Burden (Hours) 59,514 0 0 0 0 59,514
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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