Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory

Survey of Occupational Injuries and Illnesses

OMB: 1220-0045

IC ID: 179004

Documents and Forms

Document Name Document Type
Form BLS 9300 N06 Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory Form and Instruction
2024_Item15_SOII_IDCF_Instructions.pdf Instruction
2024_Item15_SOII_IDCF_Instructions.pdf Instruction
BLS 9300 N06 SOII Collection Form 2024_SOII_Long_Form.pdf Form and Instruction
BLS 9300 N06 SOII Collection Form 2024_SOII_Long_Form.pdf Form and Instruction
BLS 9300 SOII Collection Form Spanish 2024_Item1_SOII_Spanish_data_collection.pdf Form and Instruction
BLS 9300 SOII Collection Form Spanish 2024_Item1_SOII_Spanish_data_collection.pdf Form and Instruction
BLS 9300 FAX SOII FAX form 2024_Item24_SOII_fax_form_English_generic_mail.pdf Form and Instruction
BLS 9300 FAX SOII FAX form 2024_Item24_SOII_fax_form_English_generic_mail.pdf Form and Instruction
BLS 9300 FAX SOII FAX Form Spanish 2024_Item25_SOII_fax_form_Spanish.pdf Form and Instruction
BLS 9300 FAX SOII FAX Form Spanish 2024_Item25_SOII_fax_form_Spanish.pdf Form and Instruction
IDCF IDCF Collection Instrument Screenshots 2024_omb_screenshots.pdf Form and Instruction
IDCF IDCF Collection Instrument Screenshots 2024_omb_screenshots.pdf Form and Instruction
BLS-9300-FAX SOII 2024 FAX Form - Example Alabama 2024_SOII_Fax_form.pdf Form and Instruction
BLS-9300-FAX SOII 2024 FAX Form - Example Alabama 2024_SOII_Fax_form.pdf Form and Instruction
SOII_informed_consent_letter.docx SOII informed consent letter IC Document
SOII_informed_consent_letter.docx SOII informed consent letter IC Document
2024_Mandatory_SOII_collection.pdf 2024 Mandatory Collection Notice IC Document
2024_Mandatory_SOII_collection.pdf 2024 Mandatory Collection Notice IC Document
2024_Mandatory_SOII_collection_Password_Notice.pdf 2024 SOII Collection Password Notice IC Document
2024_Mandatory_SOII_collection_Password_Notice.pdf 2024 SOII Collection Password Notice IC Document
2025_Mandatory_SOII_Prenote.pdf 2025 Mandatory Prenote message IC Document
2025_Mandatory_SOII_Prenote.pdf 2025 Mandatory Prenote message IC Document
2025_Item5_SOII_Prenote_leaflet.pdf 2025 Prenote leaflet IC Document
2025_Item5_SOII_Prenote_leaflet.pdf 2025 Prenote leaflet IC Document
2024_Item17_SOII_NR1_letter.pdf Item 17 Nonresponse letter 1 IC Document
2024_Item17_SOII_NR1_letter_rev.pdf Item 17 Nonresponse letter 1 IC Document
2024_Item18_SOII_NR2_letter.pdf Item 18 Nonresponse letter 2 IC Document
2024_Item18_SOII_NR2_letter_rev.pdf Item 18 Nonresponse letter 2 IC Document
2024_Item16_SOII_Internet_pamphlet.pdf 2024 Internet pamphlet IC Document
2024_Item16_SOII_Internet_pamphlet.pdf 2024 Internet pamphlet IC Document
2025_Item23_SOII_mandatory_prenote_letter.pdf 2025 Prenote Letter IC Document
2025_Item23_SOII_mandatory_prenote_letter_rev.pdf 2025 Prenote Letter IC Document
2025_Mandatory_SOII_Prenote_Password_Notice.pdf 2025 Mandatory Prenote Password Notice IC Document
2025_Mandatory_SOII_Prenote_Password_Notice.pdf 2025 Mandatory Prenote Password Notice IC Document
SOII_Indian_Tribal_Letter.pdf Indian Tribal Letter IC Document
SOII_Indian_Tribal_Letter_rev.pdf Indian Tribal Letter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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 N06	SOII Collection Form	2024_SOII_Long_Form.pdf	Yes	Yes	Fillable Printable
Instruction			2024_Item15_SOII_IDCF_Instructions.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300	SOII Collection Form Spanish	2024_Item1_SOII_Spanish_data_collection.pdf	Yes	Yes	Fillable Printable
Form and Instruction	BLS 9300 FAX	SOII FAX form	2024_Item24_SOII_fax_form_English_generic_mail.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX	SOII FAX Form Spanish	2024_Item25_SOII_fax_form_Spanish.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	IDCF Collection Instrument Screenshots	2024_omb_screenshots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-9300-FAX	SOII 2024 FAX Form - Example Alabama	2024_SOII_Fax_form.pdf	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: 15,100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15,100	300	14,800
Annual IC Time Burden (Hours)	11,892	3,062	8,830
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SOII informed consent letter	SOII_informed_consent_letter.docx	05/13/2024
2024 Mandatory Collection Notice	2024_Mandatory_SOII_collection.pdf	05/13/2024
2024 SOII Collection Password Notice	2024_Mandatory_SOII_collection_Password_Notice.pdf	05/13/2024
2025 Mandatory Prenote message	2025_Mandatory_SOII_Prenote.pdf	05/13/2024
2025 Prenote leaflet	2025_Item5_SOII_Prenote_leaflet.pdf	05/13/2024
Item 17 Nonresponse letter 1	2024_Item17_SOII_NR1_letter_rev.pdf	08/16/2024
Item 18 Nonresponse letter 2	2024_Item18_SOII_NR2_letter_rev.pdf	08/16/2024
2024 Internet pamphlet	2024_Item16_SOII_Internet_pamphlet.pdf	05/13/2024
2025 Prenote Letter	2025_Item23_SOII_mandatory_prenote_letter_rev.pdf	08/16/2024
2025 Mandatory Prenote Password Notice	2025_Mandatory_SOII_Prenote_Password_Notice.pdf	05/13/2024
Indian Tribal Letter	SOII_Indian_Tribal_Letter_rev.pdf	08/16/2024

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