Information Collection

Census of Fatal Occupational Injuries - Private Sector

IC 182257 under ICR 201607-1220-001 · OMB 1220-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0133 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS CFOI - 1 Census of Fatal Occupational Injuries - Private Sector	Form and Instruction
BLS CFOI - 1 Census of Fatal Occupational Injuries Report CFOI -1.docx	Form and Instruction

IC Title:

Census of Fatal Occupational Injuries - Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	BLS CFOI - 1	Census of Fatal Occupational Injuries Report	CFOI -1.docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 730

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	730	-232	962
Annual IC Time Burden (Hours)	243	-78	321
Annual IC Cost Burden (Dollars)	0	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.