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_SY2022_Long_Form OMB.pdf Yes Yes Fillable Printable
Instruction Item 000 - 2022 SOII instructions sheet - Mandatory OMB.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII FAX From Item 24 - Fax_form_English_2022 generic OMB.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII Fax Form - Spanish Item 25 - Fax_form_PR_2022 OMB.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 Spanish SOII Spanish Data Collection Book Item 1 - 2022 SOII Spanish Data Collection Book OMB.pdf Yes Yes Fillable Printable
Form and Instruction BLS 9300FAX Fax Form 2021 Example AL_2022_Fax form.pdf Yes Yes Fillable Fileable
Instruction Item 15 - IDCF - Instructions 2022 OMB.pdf 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 Businesses or other for-profits, Farms, Not-for-profit institutions
 
   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 2023 email.msg 07/29/2022
Data Collection email collection mandatory 2022 email.msg 07/29/2022
Item 17 - Non-Response letter 1 Item 17 - Non-Response letter 1_2022 w Marika OMB.pdf 07/27/2022
Item 18 Non Response Letter 2 with fax option Item 18 - Non-Response letter 2_2022 w Marika_with fax option OMB.pdf 07/27/2022
Item 23 - Mandatory Pre-Notification Item 23 - Mandatory Pre-Notification_2022.docx 06/28/2021
2022 Internet Pamphlet Item 16 - 2022 Internet pamphlet OMB.pdf 07/27/2022
Item 5 2022 Prenote Leaflet Item 5 - 2023 Prenote Leaflet OMB.pdf 07/27/2022
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
1st non-response mandatory respondent email 1st non-response Mandatory respondent email OMB.pdf 07/29/2022
2nd non-response mandatory respondent email 2nd non-response Mandatory respondent email OMB.pdf 07/29/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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