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Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)
Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)
OMB: 1218-0176
IC ID: 14117
OMB.report
DOL/OSHA
OMB 1218-0176
ICR 202409-1218-004
IC 14117
( )
Documents and Forms
Document Name
Document Type
Form OSHA Forms 300, 30
Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)
Form
ITA Job Aides (01.24.19).pdf
www.osha.gov/injuryreporting/ita/
Instruction
OSHA Forms 300, 30 Log of Work Related Injuries and Illnesses, Summary of W
new-osha300form6-30-16 (2).xls
www.osha.gov/recordkeeping/RKforms.html
Form
OSHA Forms 300, 30 Log of Work Related Injuries and Illnesses, Summary of W
RKform300pkg-InstruxOnly (2).pdf
www.osha.gov/recordkeeping/RKforms.html
Form and Instruction
OSHA 6-40.2 OSHA Injury Tracking Application Login screenshot
ITA Sceen shots 01.25.19.docx
www.osha.gov/injuryreporting/ita/
Form and Instruction
OSHA 6-40.2 OSHA Injury Tracking Application (mock-up of screen coll
EIN screen shot.docx
www.osha.gov/injuryreporting/ita/
Form
OSHA Forms 300, 30 Log of Work-Related Injuries and Illnesses, Summary of W
OSHA-RK-Forms-Instructions-Only-updated_11.7.2024.pdf
www.osha.gov/recordkeeping/RKforms.html
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)
Agency IC Tracking Number:
1218-0176 (2024)
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 1904
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
OSHA Forms 300, 300A and 301
Log of Work Related Injuries and Illnesses, Summary of Work-Related Injuries and Illnesses, Injury and Illness Incident Reporting (Excel spreadsheets)
new-osha300form6-30-16 (2).xls
https://www.osha.gov/recordkeeping/RKforms.html
Yes
Yes
Fillable Fileable
Form and Instruction
OSHA Forms 300, 300A and 301
Log of Work Related Injuries and Illnesses, Summary of Work-Related Injuries and Illnesses, Injury and Illness Incident Report
RKform300pkg-InstruxOnly (2).pdf
https://www.osha.gov/recordkeeping/RKforms.html
Yes
Yes
Fillable Fileable
Form and Instruction
OSHA 6-40.2
OSHA Injury Tracking Application Login screenshot
ITA Sceen shots 01.25.19.docx
https://www.osha.gov/injuryreporting/ita/
Yes
Yes
Fillable Fileable
Instruction
ITA Job Aides (01.24.19).pdf
https://www.osha.gov/injuryreporting/ita/
Yes
No
Printable Only
Form
OSHA 6-40.2
OSHA Injury Tracking Application (mock-up of screen collecting EIN information)
EIN screen shot.docx
https://www.osha.gov/injuryreporting/ita/
Yes
Yes
Fillable Fileable
Form and Instruction
OSHA Forms 300, 300A and 301
Log of Work-Related Injuries and Illnesses, Summary of Work-Related Injuries and Illnesses, Injury and Illness Incident Report
OSHA-RK-Forms-Instructions-Only-updated_11.7.2024.pdf
https://www.osha.gov/recordkeeping/RKforms.html
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
982,912
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,093,086
0
0
0
0
5,093,086
Annual IC Time Burden (Hours)
2,038,626
0
0
0
0
2,038,626
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.