Bureau of Labor Statistics Occupational Safety and Health Statistics Cooperative Agreement Application Package

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BLS-OSHS2 Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form and Instruction	Modified	Repair queued
OSHS FY 2023 Note to Reviewer (1220-0149).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-04-18	Repair queued
1220-0149 30-day FRN.pdf	Supplementary Document	Uploaded 2021-04-16	Repair queued
31 U.S. Code § 6305 - Using cooperative agreements.pdf	Supplementary Document	Uploaded 2021-04-15	Repair queued
29 U.S. Code § 669 - Research and related activities.pdf	Supplementary Document	Uploaded 2021-04-15	Repair queued
29 U.S. Code § 2.pdf	Supplementary Document	Uploaded 2021-04-15	Repair queued
29 U.S. Code § 1.pdf	Supplementary Document	Uploaded 2021-04-15	Repair queued
1220-0149 60-day FRN.pdf	Supplementary Document	Uploaded 2021-04-15	Repair queued
FY 2022 OSHS Note to Reviewer.docx	Supplementary Document	Uploaded 2021-02-25	Repair queued
FY 2022 OSHS Supporting Statement 2-25-2021.docx	Supporting Statement A	Uploaded 2021-02-25	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
246000	Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form and Instruction	Modified

ICR Details

OMB Control No: 1220-0149	ICR Reference No: 202204-1220-001
Status: Received in OIRA	Previous ICR Reference No: 202102-1220-001
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Bureau of Labor Statistics Occupational Safety and Health Statistics Cooperative Agreement Application Package
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/18/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	06/30/2024	06/30/2024
Responses	445	445
Time Burden (Hours)	386	386
Cost Burden (Dollars)	0	0

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Abstract: The BLS signs cooperative agreements with States, and political subdivisions thereof, to assist them in developing and administering programs that deal with occupational safety and health statistics and to arrange through these agreements for research to further the objectives of the Occupational Safety and Health Act.

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Authorizing Statute(s): US Code: 29 USC 669 Name of Law: Occupational Safety and Health Act of 1970
   US Code: 31 USC 6305 Name of Law: Federal Grant and Cooperative Agreement Act of 1977
   US Code: 29 USC 1 and 2 Name of Law: BLS Authorzing Statute
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 73514	11/18/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 20206	04/16/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Occupational Safety and Health Statistics Cooperative Agreement Application Package	BLS OSHS TCF, BLS OSHS FRW-B:AAMC, BLS OSHS FRW-A: Base Programs , BLS OSHS Property Listing, OSHS CA, BLS-OSHS2, OSHS CA BV	BLS-OSHS Quarterly Financial Report ,   OSHS Cooperative Agreement Budget Variance Request Form ,   Transmittal and Certification Form ,   BLS OSHS Financial Reconciliation Worksheet (FRW-B: AAMC Programs) ,   BLS OSHS Financial Reconciliation Worksheet (FRW-A: Base Programs) ,   BLS OSHS Property Listing ,   OSHS Cooperative Agreement Package

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	445	445	0	0	0	0
Annual Time Burden (Hours)	386	386	0	0	0	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: Burden estimate has been recalculated to be a more precise estimate of the time required to complete the forms.

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Annual Cost to Federal Government: $260,000

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? No

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Common Form ICR:  No

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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: 04/18/2022

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