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OSHS Cooperative Agreement
Bureau of Labor Statistics Occupational Safety and Health Statistics Cooperative Agreement Application Package
OMB: 1220-0149
IC ID: 215287
OMB.report
DOL/BLS
OMB 1220-0149
ICR 201706-1220-001
IC 215287
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0149 can be found here:
2024-09-09 - No material or nonsubstantive change to a currently approved collection
2024-03-12 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form OSHS CA
OSHS Cooperative Agreement
Form and Instruction
OSHS CA OSHS FY2018 CA
Final Draft OSHS FY 2018 Draft CA.docx
Form and Instruction
BLS OSHS2 Quarterly Financial Report
BLS OSHS2 - Quarterly Financial Report.docx
Form and Instruction
FRW Financial Reconciliation Worksheet
FRW - Financial Reconciliation Worksheet.docx
Form and Instruction
OSHS TCF Transmittal and Certification Form
Transmittal and Certification Form.docx
Form
BLS OSHS PL OSHS Property Listing
OSHS Property Listing.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OSHS Cooperative Agreement
Agency IC Tracking Number:
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
OSHS CA
OSHS FY2018 CA
Final Draft OSHS FY 2018 Draft CA.docx
Yes
No
Printable Only
Form and Instruction
BLS OSHS2
Quarterly Financial Report
BLS OSHS2 - Quarterly Financial Report.docx
Yes
No
Printable Only
Form and Instruction
FRW
Financial Reconciliation Worksheet
FRW - Financial Reconciliation Worksheet.docx
Yes
Yes
Fillable Printable
Form
OSHS TCF
Transmittal and Certification Form
Transmittal and Certification Form.docx
Yes
Yes
Fillable Printable
Form and Instruction
BLS OSHS PL
OSHS Property Listing
OSHS Property Listing.docx
Yes
Yes
Fillable Printable
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:
54
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
406
0
0
0
0
406
Annual IC Time Burden (Hours)
367
0
0
0
0
367
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.