Information Collection

Injury Tracking Application (ITA) 3.0 Beta Testing

IC 261632 under ICR 202312-1225-001 · OMB 1225-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Injury Tracking Application (ITA) 3.0 Beta Testing	Form and Instruction
BETA Test Feedback Form ITA 3.0 Injury Tracking Application (ITA) 3.0 Beta Testing	Form and Instruction
Beta test invitation Injury Tracking Application (ITA) 3.0 Beta Testing	Form and Instruction
BETA Test Feedback Form ITA 3.0 BETA Test Feedback Form ITA 3.0 08172023 FINAL_OCIO.docx ddp-preview.osha.gov/injuryreporting/ita	Form and Instruction
Beta test invitation Beta test invitation 8.172023 FINAL_OCIO.docx ddp-preview.osha.gov/injuryreporting/ita	Form and Instruction
BETA Test Feedback Form ITA 3.0 BETA Test Feedback Form ITA 3.0 08172023 FINAL_OCIO.docx ddp-preview.osha.gov/injuryreporting/ita	Form and Instruction
Beta test invitation Beta test invitation 8.172023 FINAL_OCIO.docx ddp-preview.osha.gov/injuryreporting/ita	Form and Instruction
1225-0088 Generic Clearance Template for Beta Testing 8-172023 OCIO_final clean.docx Injury Tracking Application (ITA) 3.0 Beta Testing	IC Document
1225-0088 Generic Clearance Template for Beta Testing 8-172023 OCIO_final clean.docx Injury Tracking Application (ITA) 3.0 Beta Testing	IC Document

IC Title:

Injury Tracking Application (ITA) 3.0 Beta Testing

Agency IC Tracking Number:

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

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
Form and Instruction	N/A	BETA Test Feedback Form ITA 3.0	BETA Test Feedback Form ITA 3.0 08172023 FINAL_OCIO.docx	https://ddp-preview.osha.gov/injuryreporting/ita	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Beta test invitation	Beta test invitation 8.172023 FINAL_OCIO.docx	https://ddp-preview.osha.gov/injuryreporting/ita	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-90	90
Annual IC Time Burden (Hours)	-105	105
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Injury Tracking Application (ITA) 3.0 Beta Testing	1225-0088 Generic Clearance Template for Beta Testing 8-172023 OCIO_final clean.docx	08/18/2023

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