Information Collection

Census of Fatal Occupational Injuries - Individuals

IC 182256 under ICR 202503-1220-004 · OMB 1220-0133.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CFOI 1 Census of Fatal Occupational Injuries - Individuals	Form
Form CFOI 1 Census of Fatal Occupational Injuries Report Census of Fatal Occupational Injuries - Individuals	Form
2025_CFOI_Attachment2A_Followback_questionnaire_individuals.docx	Instruction
2025_CFOI_Attachment2A_Followback_questionnaire_individuals.docx	Instruction
CFOI 1 Census of Fatal Occupational Injuries Report 2025_CFOI-1_Final.docx	Form
CFOI 1 Census of Fatal Occupational Injuries Report 2025_CFOI-1_Final.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	CFOI 1				Yes	Yes	Fillable Printable
Instruction					No		Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	33	-8	41
Annual IC Time Burden (Hours)	11	-3	14
Annual IC Cost Burden (Dollars)	0	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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