Public Sector - Voluntary

Survey of Occupational Injuries and Illnesses

OMB: 1220-0045

IC ID: 192801

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0045 can be found here:

2024-07-01 - Revision of a currently approved collection

Documents and Forms

Document Name Document Type
Form BLS 9300 Public Sector - Voluntary Form and Instruction
Item 000 - 2023 SOII instructions sheet - Voluntary OMB.pdf Instruction
Item 000 - 2023 SOII instructions sheet - Voluntary OMB.pdf Instruction
BLS 9300 Survey of Occupational Injuries and Illnesses SOII_SY2023_Long_Form OMB.pdf Form and Instruction
BLS 9300 Survey of Occupational Injuries and Illnesses SOII_SY2023_Long_Form OMB.pdf Form and Instruction
BLS9300 FAX SOII Fax Form AL_2023_Fax form OMB.pdf Form and Instruction
BLS9300 FAX SOII Fax Form AL_2023_Fax form OMB.pdf Form and Instruction
BLS 9300 FAX SOII FAX Form Item 24 - Fax form English 2023 generic OMB.pdf Form and Instruction
BLS 9300 FAX SOII FAX Form Item 24 - Fax form English 2023 generic OMB.pdf Form and Instruction
BLS 9300 FAX Spani SOII Spanish FAX Form Item 25 - Fax form PR 2023 OMB.pdf Form and Instruction
BLS 9300 FAX Spani SOII Spanish FAX Form Item 25 - Fax form PR 2023 OMB.pdf Form and Instruction
IDCF SOII IDCF Screenshots OMB_IDCF_Screenshots_v3.docx Form and Instruction
IDCF SOII IDCF Screenshots OMB_IDCF_Screenshots_v3.docx Form and Instruction
Voluntary 2023_Password_Notice_OMB.pdf Data Collection password email IC Document
Voluntary 2023_Password_Notice_OMB.pdf Data Collection password email IC Document
Voluntary 2023 Survey of Occupational Injuries and Illnesses - OMB.pdf Data Collection Email IC Document
Voluntary 2023 Survey of Occupational Injuries and Illnesses - OMB.pdf Data Collection Email IC Document
Voluntary Prenote 2024 Survey of Occupational Injuries and Illnesses OMB.pdf Voluntary Prenote email IC Document
Voluntary Prenote 2024 Survey of Occupational Injuries and Illnesses OMB.pdf Voluntary Prenote email IC Document
SOII Informed Consent Letter.pdf Informed Consent Letter IC Document
SOII Informed Consent Letter.pdf Informed Consent Letter IC Document
Item 19 - Voluntary Public Sector Letter for Pre-Notification 2024 OMB.pdf Item 19 - Voluntary Pre-note 2022 IC Document
Item 19 - Voluntary Public Sector Letter for Pre-Notification 2024 OMB.pdf Item 19 - Voluntary Pre-note 2022 IC Document
Item 20 - Voluntary Public Sector Letter for data collection 2023 OMB.pdf Item 20 Voluntary letter for data collection 2022 IC Document
Item 20 - Voluntary Public Sector Letter for data collection 2023 OMB.pdf Item 20 Voluntary letter for data collection 2022 IC Document
Item 21 - Voluntary Public Sector Letter for NR1 2023 OMB.pdf Item 21 - Voluntary NR1 2022 IC Document
Item 21 - Voluntary Public Sector Letter for NR1 2023 OMB.pdf Item 21 - Voluntary NR1 2022 IC Document
Item 22 - Voluntary Public Sector Letter for NR2 2023 with fax option OMB.pdf Item 22 - Voluntary NR2 2022 IC Document
Item 22 - Voluntary Public Sector Letter for NR2 2023 with fax option OMB.pdf Item 22 - Voluntary NR2 2022 IC Document
Item 16 - 2023 Internet pamphlet OMB.pdf Item 16 2021 Internet Pamphlet IC Document
Item 16 - 2023 Internet pamphlet OMB.pdf Item 16 2021 Internet Pamphlet IC Document
Item 5 - 2024 Prenote Leaflet OMB.pdf Item 5 2022 Prenote Leaflet IC Document
Item 5 - 2024 Prenote Leaflet OMB.pdf Item 5 2022 Prenote Leaflet IC Document
Voluntary 2023_Password_Notice_OMB.pdf Prenote voluntary password email IC Document
Voluntary 2023_Password_Notice_OMB.pdf Prenote voluntary password email IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Public Sector - Voluntary	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 9300	Survey of Occupational Injuries and Illnesses	SOII_SY2023_Long_Form OMB.pdf	Yes	Yes	Fillable Printable
Form and Instruction	BLS9300 FAX	SOII Fax Form	AL_2023_Fax form OMB.pdf	Yes	Yes	Fillable Fileable
Instruction			Item 000 - 2023 SOII instructions sheet - Voluntary OMB.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX	SOII FAX Form	Item 24 - Fax form English 2023 generic OMB.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX Spanish	SOII Spanish FAX Form	Item 25 - Fax form PR 2023 OMB.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	SOII IDCF Screenshots	OMB_IDCF_Screenshots_v3.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,200	6,200
Annual IC Time Burden (Hours)	8,996	8,996
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Data Collection password email	Voluntary 2023_Password_Notice_OMB.pdf	08/01/2023
Data Collection Email	Voluntary 2023 Survey of Occupational Injuries and Illnesses - OMB.pdf	08/01/2023
Voluntary Prenote email	Voluntary Prenote 2024 Survey of Occupational Injuries and Illnesses OMB.pdf	07/31/2023
Informed Consent Letter	SOII Informed Consent Letter.pdf	08/21/2019
Item 19 - Voluntary Pre-note 2022	Item 19 - Voluntary Public Sector Letter for Pre-Notification 2024 OMB.pdf	07/31/2023
Item 20 Voluntary letter for data collection 2022	Item 20 - Voluntary Public Sector Letter for data collection 2023 OMB.pdf	07/31/2023
Item 21 - Voluntary NR1 2022	Item 21 - Voluntary Public Sector Letter for NR1 2023 OMB.pdf	07/31/2023
Item 22 - Voluntary NR2 2022	Item 22 - Voluntary Public Sector Letter for NR2 2023 with fax option OMB.pdf	07/31/2023
Item 16 2021 Internet Pamphlet	Item 16 - 2023 Internet pamphlet OMB.pdf	07/31/2023
Item 5 2022 Prenote Leaflet	Item 5 - 2024 Prenote Leaflet OMB.pdf	07/31/2023
Prenote voluntary password email	Voluntary 2023_Password_Notice_OMB.pdf	08/01/2023

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