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

Forms and Documents

Document Name	Status
Form OSHA 6-40.1 Reporting Occupational Injuries and Illnesses Form and Instruction	Modified
Form OSHA 300 Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904) Form	Modified
ss 0176 Final 01-03-2018.docx Supporting Statement A	2018-01-03
2017-09-14.pdf Supplementary Document	2018-01-03
rev-OSHAdatacollection-rulemaking-mockup_6-24-15 (2).pdf Supplementary Document	2016-04-28
29 CFR Part 1904.pdf Supplementary Document	2008-01-16
29 USC 673 Sec 24.pdf Supplementary Document	2008-01-16
29 USC 657 Sec 8.pdf Supplementary Document	2008-01-15

IC Document Collections

IC ID	Document Title	Status
212582	Reporting Occupational Injuries and Illnesses Form and Instruction	Modified
14117	Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904) Form	Modified

ICR Details

OMB Control No: 1218-0176	ICR Reference No: 201712-1218-004
Status: Historical Active	Previous ICR Reference No: 201604-1218-002
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0176(2018)
Title: Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/11/2018
	Date Received in OIRA: 02/01/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2021	36 Months From Approved	06/30/2018
Responses	6,212,616	0	6,054,767
Time Burden (Hours)	2,253,550	0	2,524,458
Cost Burden (Dollars)	0	0	0

---

Abstract: The OSH Act and 29 CFR Part 1904 prescribe that certain employers maintain records of job related injuries and illnesses. The data are needed by OSHA to carry out intervention and enforcement activities to guarantee workers safe and healthful workplaces. The data are also needed by BLS to produce national statistics on occupational injuries and illnesses.

---

Authorizing Statute(s): US Code: 29 USC 673 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 657(c) Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 43255	09/14/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 11249	03/14/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)	OSHA-300A (Spreadsheet Version), OSHA Form 301, OSHA 300, OSHA 300A, Online OSHA Forms 300, 301, 300A	Log of Work Related Injuries and Illnesses ,   Injury and Illness Incident Report ,   Summary of Work-Related Injuries and Ilnesses ,   Summary of Work-Related Injuries and Illnesses ,   OSHA's Online Injury/Illness Data Collectoin
Reporting Occupational Injuries and Illnesses	OSHA 6-40.1	Serious Event Reporting Online Form

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,212,616	6,054,767	0	0	157,849	0
Annual Time Burden (Hours)	2,253,550	2,524,458	0	0	-270,908	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This ICR includes only adjustments. OSHA estimates a decrease of 270,909 burden hours from the currently approved estimate of 2,524,458 hours. There is an adjustment increase of 155,042 hours for the additional reporting requirements contained in the 1904.41 that will occur in CY2018. These additional requirements are from existing regulatory text. There is an adjustment increase of 73,196 hours for the estimated increase of 188,000 injuries and illnesses recorded on the OSHA forms. There is an adjustment decrease of 499,147 burden hours due to decreases in the number of establishments covered by the recordkeeping regulation. These estimates have all been updated using the most current data available (i.e. 2015 SOII injury and illness counts and 2015 CBP establishment counts).

---

Annual Cost to Federal Government: $1,002,800

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/01/2018

---