Information Collection

Occupational Safety and Health Statistics Cooperative Agreement Application Package

IC 264780 under ICR 202401-1220-007 · OMB 1220-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0149 can be found here:

2026-04-17 - No material or nonsubstantive change to a currently approved collection
2025-06-04 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS OSHS BIF Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form
BLS OSHS BIF BLS OSHS Budget Information Form 2024 OSHS BIF.pdf	Form
BLS OSHS BIF BLS OSHS Budget Information Form 2024 OSHS BIF.pdf	Form
BLS OSHS BV BLS OSHS Budget Variance Request Form 2024 OSHS Budget Variance Form.pdf	Form and Instruction
BLS OSHS BV BLS OSHS Budget Variance Request Form 2024 OSHS Budget Variance Form.pdf	Form and Instruction
BLS OSHS TCF BLS OSHS Transmittal and Certification Form 2024 OSHS TCF.pdf	Form
BLS OSHS TCF BLS OSHS Transmittal and Certification Form 2024 OSHS TCF.pdf	Form
BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Progr 2024 OSHS FRW-A.pdf	Form and Instruction
BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Progr 2024 OSHS FRW-A.pdf	Form and Instruction
BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Progr 2024 OSHS FRW-B.pdf	Form and Instruction
BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Progr 2024 OSHS FRW-B.pdf	Form and Instruction
BLS OSHS Property BLS OSHS Property Listing 2024 OSHS Property Listing.pdf	Form and Instruction
BLS OSHS Property BLS OSHS Property Listing 2024 OSHS Property Listing.pdf	Form and Instruction
BLS OSHS 2 BLS OSHS Quarterly Financial Report 2024 OSHS2.pdf	Form and Instruction
BLS OSHS 2 BLS OSHS Quarterly Financial Report 2024 OSHS2.pdf	Form and Instruction
FY2024 OSHS CA FY2024 OSHS Cooperative Agreement FY 2024 OSHS CA.docx	Form and Instruction
FY2025 OSHS CA FY2025 OSHS Cooperative Agreement FY 2025 OSHS CA Final.docx	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Occupational Safety and Health Statistics Cooperative Agreement Application Package

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BLS OSHS BIF	BLS OSHS Budget Information Form	2024 OSHS BIF.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS BV	BLS OSHS Budget Variance Request Form	2024 OSHS Budget Variance Form.pdf	Yes	Yes	Fillable Fileable Signable
Form	BLS OSHS TCF	BLS OSHS Transmittal and Certification Form	2024 OSHS TCF.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	BLS OSHS FRW-A	BLS OSHS Financial Reconciliation Worksheet - Base Programs	2024 OSHS FRW-A.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS FRW-B AAMC	BLS OSHS Financial Reconciliation Worksheet - AAMC Programs	2024 OSHS FRW-B.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS Property Listing	BLS OSHS Property Listing	2024 OSHS Property Listing.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS 2	BLS OSHS Quarterly Financial Report	2024 OSHS2.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FY2025 OSHS CA	FY2025 OSHS Cooperative Agreement	FY 2025 OSHS CA Final.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: 55

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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