Information Collection Request

Census of Fatal Occupational Injuries

ICR 202503-1220-004 · OMB 1220-0133 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Attachment 2C FAX requesting death certificates Form and Instruction Modified Available
Form CFOI 1 Census of Fatal Occupational Injuries Report Form Modified Available
Form CFOI 1 Census of Fatal Occupational Injuries - State, local, and tribal government Form Modified Repair queued
Form CFOI-1 Census of Fatal Occupational Injuries Report Form Modified Available
Form CFOI-1 Census of Fatal Occupational Injuries - Private Sector Form Modified Available
Form CFOI 1 Census of Fatal Occupational Injuries Report Form Modified Available
Form CFOI 1 Census of Fatal Occupational Injuries - Individuals Form Modified Repair queued
Form CFOI 1 Census of Fatal Occupational Injuries Report Form and Instruction Modified Available
Form CFOI 1 Census of Fatal Occupational Injuries - Federal Government Form and Instruction Modified Repair queued
Comment on CFOI 30 day notice BLS-2025-0067-0002.html Public Comments Uploaded 2025-10-15 Repair queued
2025_CFOI_Supporting_Statement_PartA _Final 11.24.2025.docx Supporting Statement A Uploaded 2025-11-24 Repair queued
2025_CFOI_Supporting_Statement_PartA _Final.docx Supporting Statement A Uploaded 2025-08-14 Repair queued
2025_CFOI_Supporting_Statement_PartB_Final.docx Supporting Statement B Uploaded 2025-07-30 Repair queued
2025_CFOI_Supporting_Statement_PartB_Final.docx Supporting Statement B Uploaded 2025-07-30 Repair queued
2025_CFOI_Attachment1B_Research_File_Data_Elements.docx Supplementary Document Uploaded 2025-04-29 Available
2025_CFOI_Attachment1B_Research_File_Data_Elements.docx Supplementary Document Uploaded 2025-04-29 Repair queued
2025_CFOI_Attachment1A_Data_Elements.docx Supplementary Document Uploaded 2025-04-29 Available
2025_CFOI_Attachment1A_Data_Elements.docx Supplementary Document Uploaded 2025-04-29 Missing upstream
Public_Law_91-596.doc Supplementary Document Uploaded 2019-06-26 Repair queued
Public_Law_91-596.doc Supplementary Document Uploaded 2019-06-26 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
182258 Census of Fatal Occupational Injuries - State, local, and tribal government Form and Instruction ModifiedFAX requesting death certificates
182258 Census of Fatal Occupational Injuries - State, local, and tribal government Form ModifiedCensus of Fatal Occupational Injuries Report
182258 Census of Fatal Occupational Injuries - State, local, and tribal government Form Modified
182258 Census of Fatal Occupational Injuries - State, local, and tribal government Instruction Modified
182257 Census of Fatal Occupational Injuries - Private Sector Form ModifiedCensus of Fatal Occupational Injuries Report
182257 Census of Fatal Occupational Injuries - Private Sector Form Modified
182257 Census of Fatal Occupational Injuries - Private Sector Instruction Modified
182256 Census of Fatal Occupational Injuries - Individuals Form ModifiedCensus of Fatal Occupational Injuries Report
182256 Census of Fatal Occupational Injuries - Individuals Form Modified
182256 Census of Fatal Occupational Injuries - Individuals Instruction Modified
14631 Census of Fatal Occupational Injuries - Federal Government Form and Instruction ModifiedCensus of Fatal Occupational Injuries Report
14631 Census of Fatal Occupational Injuries - Federal Government Form and Instruction Modified
14631 Census of Fatal Occupational Injuries - Federal Government Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2028 36 Months From Approved 11/30/2025
16,072 0 15,810
2,782 0 2,760
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Census of Fatal Occupational Injuries - Federal Government CFOI 1
Census of Fatal Occupational Injuries - Individuals CFOI 1
Census of Fatal Occupational Injuries - Private Sector CFOI-1
Census of Fatal Occupational Injuries - State, local, and tribal government CFOI 1, Attachment 2C ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 16,072 15,810 0 262 0 0
Annual Time Burden (Hours) 2,782 2,760 0 22 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No