Public Sector - Voluntary

Survey of Occupational Injuries and Illnesses

OMB: 1220-0045

IC ID: 192801

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Public Sector - Voluntary
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BLS9300 FAX SOII Fax Form 01_Alabama_2019.docx Yes Yes Fillable Fileable
Instruction Item 15 - 2019 SOII instructions sheet - nonDJTR OMB revision with OSHA ITA_20190923.docx Yes Yes Fillable Fileable
Form and Instruction IDCF Screenshots SOII IDCF screenshots 2019 (002).docx Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII FAX Form English Fax form.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII Spanish FAX form Spanish Fax form.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 Survey of Occupational Injuries and Illnesses 9300_SOII_SY2019_Long_Form OMB.doc Yes Yes Fillable Printable
Instruction 9300 IDCF - 2019 .docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

6,200 0
   
State, Local, and Tribal Governments
 
   75 %

  Approved 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 6,200 0 0 0 0 6,200
Annual IC Time Burden (Hours) 12,776 0 0 0 0 12,776
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Data Collection password email Data_collection_password_email.docx 08/21/2019
Data Collection Email Data_Collection_email_message.docx 08/21/2019
Voluntary Prenote email Voluntary_Prenote_email_message.docx 08/21/2019
Pre-note Voluntary Item 5 - 2020 SOII instructions sheet - Vol_prenote.docx 08/21/2019
Voluntary Public Sector for Pre-Notification Item 19 - Voluntary Public Sector Letter for Pre-Notification_2020.docx 08/21/2019
Voluntary Public Sector letter for Data collection Item 20 - Voluntary Public Sector Letter for data collection_2019.docx 08/21/2019
Informed Consent Letter SOII Informed Consent Letter.pdf 08/21/2019
Nonresponse Letter 1 - Vol Item 21 - Voluntary Public Sector Letter for NR1_2019.docx 08/21/2019
Nonresponse Letter 2 - Vol Item 22 - Voluntary Public Sector Letter for NR2.docx 01/29/2020
Internet Pamphlet Item 16 - 2019 Internet pamphlet.docx 08/21/2019
Prenote Leaflet Item 5 - 2020 Prenote Leaflet.docx 08/21/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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