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

Survey of Occupational Injuries and Illnesses

OMB: 1220-0045

IC ID: 179004

Documents and Forms

Document Name Document Type
Form BLS 9300 N06 Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory Form and Instruction
2025_Item15_SOII_IDCF_Instructions.pdf Instruction
BLS 9300 N06 Survey of Occupational Injuries and Illnesses 2025_SOII_Long_form.pdf idcf.bls.gov/authentication/login Form and Instruction
BLS 9300 N06 Survey of Occupational Injuries and Illnesses - Spanish 2025_Item1_SOII_Spanish_Data_Collection.pdf Form and Instruction
BLS 9300 FAX SOII 2025 FAX 2025_Item24_SOII_fax_fom_English_generic_mail.pdf Form and Instruction
BLS 9300 FAX SOII 2025 FAX Spanish 2025_Item25_SOII_fax_form_Spanish.pdf Form and Instruction
SOII IDCF SOII IDCF Screenshots SOII_IDCF_Screenshots_2025.pdf Form and Instruction
BLS 9300 FAX SOII FAX Form - State Specific 2025_SOII_state-specific_Fax_form.pdf Form and Instruction
SOII_informed_consent_letter.docx SOII informed consent letter IC Document
2025_Mandatory_SOII_collection.pdf 2025 SOII Mandatory Collection Email IC Document
2025_Mandatory_SOII_Collection_Password_Notice.pdf 2025 Mandatory Password Notice IC Document
2026_Mandatory_SOII_Prenote.pdf 2026 Mandatory Prenote Notice IC Document
2026_Item5_SOII_prenote_leaflet.pdf Prenote Leaflet IC Document
2025_Mandatory_SOII_collection_1stNonresponse.pdf SOII Nonresponse letter 1 IC Document
2025_Mandatory_SOII_collection_2ndNonresponse.pdf SOII mandatory nonresponse letter 2 IC Document
2025_Item16_Internet_pamphlet.pdf 2025 SOII Internet Pamphlet IC Document
2026_Item23_SOII_mandatory_prenote_letter.pdf 2026 Prenote letter - mandatory IC Document
2025_Indian_Tribal_letter.pdf Indian Tribal letter IC Document

Information Collection (IC) Details

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Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

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Privacy Act System of Records
Title:	FR Citation:

Number of Respondents:	Number of Respondents for Small Entity:

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		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
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.