Information Collection

30 CFR 250.1914(e); 1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards;

IC 186875 under ICR 202410-1014-001 · OMB 1014-0017.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form BSEE-0131 30 CFR 250.1914(e); 1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards;	Form
Form Form BSEE-0131 Performance Measures Data 30 CFR 250.1914(e); 1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards;	Form
Form BSEE-0131-instructions - program edits 2024 CLEAN.docx timsweb.bsee.gov/welcome.jsp	Instruction
Form BSEE-0131-instructions - program edits 2024 CLEAN.docx timsweb.bsee.gov/welcome.jsp	Instruction
Form BSEE-0131 Performance Measures Data Form BSEE-0131 exp. 2025 - Program edits 2024 CLEAN.docx timsweb.bsee.gov/welcome.jsp	Form
Form BSEE-0131 Performance Measures Data Form BSEE-0131 exp. 2025 - Program edits 2024 CLEAN.docx timsweb.bsee.gov/welcome.jsp	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

30 CFR 250.1914(e); 1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards;

Agency IC Tracking Number:

1014-0017 '24

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1914(e);1928(d),(e);1929

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	Form BSEE-0131			https://timsweb.bsee.gov/welcome.jsp	Yes	Yes	Fillable Fileable Signable
Instruction				https://timsweb.bsee.gov/welcome.jsp	No		Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 64

Number of Respondents for Small Entity: 44

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	73,664	73,664
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.

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