Information Collection

Survey of Occupational Injuries and Illnesses - Private Sector

IC 38596 under ICR 201809-1220-003 · OMB 1220-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0045 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS 9300 Survey of Occupational Injuries and Illnesses Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form IDCF IDCF Screen Shots Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS 9300 N06 SoII Data Collection Booklet - Spanish Version Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Form BLS9300 FAX SOII 2016 Survey of Occupational Injuries and Illnesses - Private Sector	Form and Instruction
Item 15 -- IDCF - 2018.pdf	Instruction
Item 000 - 2018 SOII instructions sheet - DJTR.pdf	Instruction
Item 000 - 2018 SOII instructions sheet - nonDJTR.pdf	Instruction
BLS 9300 Survey of Occupational Injuries and Illnesses SOII_SY2018_Long_Form.pdf	Form and Instruction
IDCF IDCF Screen Shots SOII IDCF_20181004.docx	Form and Instruction
BLS 9300 N06 SoII Data Collection Booklet - Spanish Version Item 1 - 2018 SOII Spanish Data Collection Book.pdf	Form and Instruction
BLS9300 FAX SOII 2016 Fax form 2018 Example.pdf	Form and Instruction
Item 000 - 2019 SOII instructions sheet - Mand_prenote.pdf 2017 Prenote - Mandatory	IC Document
Item 17 - Non-Response letter 1_2018.pdf Non-response Letter 1	IC Document
Item 18 - Non-Response letter 2_2018.pdf Non-response letter 2	IC Document
Item 26 - Non-Response letter 1 DJTR_2018.pdf Non-response letter 1 DJTR	IC Document
Item 27 - Non-Response letter 2 DJTR_2018.pdf Non-response letter 2 - DJTR	IC Document
Data_collection_password RY2018.docx Data Collection password email	IC Document
Mandatory_Prenote 2019.docx Mandatory Prenote email	IC Document
SOII Informed Consent Letter.pdf Informed Consent Letter	IC Document
Item 24 - Mandatory Pre-Notification-DJTR_2019.pdf Mandatory Prenote DJTR 2019	IC Document
Item 23 - Mandatory Pre-Notification_2019.pdf Mandatory Prenote 2019	IC Document
Item 25 - Mandatory DJTR letter data collection_2018.pdf Mandatory DJTR letter 2016	IC Document
Item 16 -- 2018 Internet pamphlet.pdf 2016 Internet Pamphlet	IC Document
Item 5 -- 2019 Prenote Leaflet.pdf 2018 Prenote Leaflet	IC Document
Data_Collection RY2018.docx Data Collection Email message	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Survey of Occupational Injuries and Illnesses - Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 9300	Yes	Yes	Fillable Printable
Form and Instruction	IDCF	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06	Yes	Yes	Fillable Printable
Instruction		Yes	Yes	Fillable Fileable
Form and Instruction	BLS9300 FAX	Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable
Instruction		Yes	Yes	Fillable Fileable

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: 220,000

Number of Respondents for Small Entity: 104,849

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	220,000	0	220,000
Annual IC Time Burden (Hours)	296,651	3,067	293,584
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2017 Prenote - Mandatory		10/10/2018
Non-response Letter 1		10/10/2018
Non-response letter 2		10/10/2018
Non-response letter 1 DJTR		10/10/2018
Non-response letter 2 - DJTR		10/10/2018
Data Collection password email		10/10/2018
Mandatory Prenote email		10/10/2018
Informed Consent Letter		06/29/2016
Mandatory Prenote DJTR 2019		10/10/2018
Mandatory Prenote 2019		10/10/2018
Mandatory DJTR letter 2016		10/10/2018
2016 Internet Pamphlet		10/10/2018
2018 Prenote Leaflet		10/10/2018
Data Collection Email message		10/10/2018

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

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