Information Collection

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

IC 179004 under ICR 202502-1220-001 · OMB 1220-0045.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form BLS 9300 N06
Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory
Form and Instruction
Form BLS 9300 N06
SOII Collection Form Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory
Form and Instruction
Form BLS 9300
SOII Collection Form Spanish Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory
Form and Instruction
Form BLS 9300 FAX
SOII FAX form Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory
Form and Instruction
Form BLS 9300 FAX
SOII FAX Form Spanish Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory
Form and Instruction
Form IDCF
IDCF Collection Instrument Screenshots Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory
Form and Instruction
Form BLS-9300-FAX
SOII 2024 FAX Form - Example Alabama 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_data_collection_English.pdf
Form and Instruction
BLS 9300 N06 SOII Collection Form
2024_SOII_data_collection_English.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_SOII_fax_form.pdf
Form and Instruction
BLS 9300 FAX SOII FAX form
2024_SOII_fax_form.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_rev.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_rev.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_rev.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_rev.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)

layout table

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 BLS 9300 N06 Yes Yes Fillable Printable
Instruction Yes Yes Fillable Fileable
Form and Instruction BLS 9300 Yes Yes Fillable Printable
Form and Instruction BLS 9300 FAX Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX Yes Yes Fillable Fileable
Form and Instruction IDCF Yes Yes Fillable Fileable
Form and Instruction BLS-9300-FAX Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved 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 15,100 0 0 0 0 15,100
Annual IC Time Burden (Hours) 11,892 0 0 0 0 11,892
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
SOII informed consent letter 05/13/2024
2024 Mandatory Collection Notice 05/13/2024
2024 SOII Collection Password Notice 05/13/2024
2025 Mandatory Prenote message 05/13/2024
2025 Prenote leaflet 05/13/2024
Item 17 Nonresponse letter 1 08/16/2024
Item 18 Nonresponse letter 2 08/16/2024
2024 Internet pamphlet 05/13/2024
2025 Prenote Letter 08/16/2024
2025 Mandatory Prenote Password Notice 05/13/2024
Indian Tribal Letter 08/16/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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