Information Collection

Improve Tracking Workplace Injuries and Illnesses (29 CFR 1904)

IC 252428 under ICR 202307-1218-004 · OMB 1218-0279.

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IC Title:

Improve Tracking Workplace Injuries and Illnesses (29 CFR 1904)

Agency IC Tracking Number:

1218-0279 (2023)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1904

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52,092

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	475,943	475,943
Annual IC Time Burden (Hours)	118,485	118,485
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.