Survey of Occupational Injuries and Illnesses - Private Sector

Survey of Occupational Injuries and Illnesses

OMB: 1220-0045

IC ID: 38596

Documents and Forms
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Information Collection (IC) Details

View Information Collection (IC)

Survey of Occupational Injuries and Illnesses - Private Sector
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BLS 9300 Survey of Occupational Injuries and Illnesses SOII_SY2021_Long_Form.docx Yes Yes Fillable Printable
Instruction Item 000 - 2021 SOII instructions sheet - Mandatory.docx Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII FAX From Item 24 - Fax_form_English_2021 updated for DART.docx Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII Fax Form - Spanish Fax_form_PR_2021_with DART.docx Yes Yes Fillable Fileable
Form and Instruction BLS 9300 Spanish SOII Spanish Data Collection Book Item 1 - 2021 SOII Spanish Data Collection Book OMB revision.docx Yes Yes Fillable Printable
Form and Instruction BLS 9300FAX Fax Form 2021 Example AK_2021 with DART.docx Yes Yes Fillable Fileable
Instruction Item 15 - IDCF - Instructions 2021.docx Yes Yes Fillable Fileable
Form and Instruction IDCF SOII IDCF Screenshots OMB_IDCF_Screenshots_20210726.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

211,800 104,849
   
Private Sector Farms, Not-for-profit institutions, Businesses or other for-profits
 
   90 %

  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 211,800 0 0 0 0 211,800
Annual IC Time Burden (Hours) 170,033 0 0 0 0 170,033
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SOII Informed Consent Letter SOII Informed Consent Letter.pdf 08/21/2019
Mandatory Prenote email prenote mandatory 2022.msg 07/28/2021
Data Collection email collection mandatory 2021.msg 07/28/2021
Item 17 - Non-Response letter 1 Item 17 - Non-Response letter 1_2021.docx 06/28/2021
Item 18 Non Response Letter 2 with fax option Item 18 - Non-Response letter 2_2021 with fax option.docx 06/28/2021
Item 23 - Mandatory Pre-Notification Item 23 - Mandatory Pre-Notification_2022.docx 06/28/2021
2021 Internet Pamphlet Item 16 - 2021 Internet pamphlet.docx 06/28/2021
Item 5 2022 Prenote Leaflet Item 5 - 2022 Prenote Leaflet.docx 06/28/2021
Data Collection Password email collection mandatory pass.msg 07/28/2021
Prenote manadatory password email prenote mandatory pass.msg 07/28/2021
Tribal Letter Indian_Tribal_Letter_2021 Final.docx 12/16/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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