Professional Sports Team One-Time Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0176 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Professional Sports Team One-Time Survey Form and Instruction
1 Professional Sports Team One-Tome Survey Draft 300A Email 03.26.19 for OIRA ver2.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Professional Sports Team One-Time Survey	Agency IC Tracking Number:

Is this a Common Form? No		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	1	Professional Sports Team One-Tome Survey	Draft 300A Email 03.26.19 for OIRA ver2.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	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.