Developing self-administered questions to collect occupational injury and illness classification data

Cognitive and Psychological Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0141 can be found here:

Documents and Forms

Document Name Document Type
Form Attachments Developing self-administered questions to collect occupational injury and illness classification data Form and Instruction
Apendix 4 OIICS.xlsx Other-OIICS codes
Attachments Survey Protocol Attachments - Survey Protocol - HSOII studies.docx Form and Instruction
Note to Reviewer - HSOII studies.docx Note to Reviewer - Developing self-administered questions to collect occupational injury and illness classification data IC Document

Information Collection (IC) Details

IC Title:	Developing self-administered questions to collect occupational injury and illness classification data	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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	Attachments	Survey Protocol	Attachments - Survey Protocol - HSOII studies.docx		Yes	Yes	Fillable Fileable
Other-OIICS codes			Apendix 4 OIICS.xlsx		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: 1,078	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,078	1,078
Annual IC Time Burden (Hours)	255	255
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Note to Reviewer - Developing self-administered questions to collect occupational injury and illness classification data	Note to Reviewer - HSOII studies.docx	09/14/2020

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