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 and Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BLS 9300 N06 Survey of Occupational Injuries and Illnesses 2025_SOII_Long_form.pdf https://idcf.bls.gov/authentication/login Yes No Fillable Printable
Instruction 2025_Item15_SOII_IDCF_Instructions.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 N06 Survey of Occupational Injuries and Illnesses - Spanish 2025_Item1_SOII_Spanish_Data_Collection.pdf Yes No Fillable Printable
Form and Instruction BLS 9300 FAX SOII 2025 FAX 2025_Item24_SOII_fax_fom_English_generic_mail.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII 2025 FAX Spanish 2025_Item25_SOII_fax_form_Spanish.pdf Yes Yes Fillable Fileable
Form and Instruction SOII IDCF SOII IDCF Screenshots SOII_IDCF_Screenshots_2025.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII FAX Form - State Specific 2025_SOII_state-specific_Fax_form.pdf Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

15,100 0
   
State, Local, and Tribal Governments
 
   90 %

  Requested 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

Title Document Date Uploaded
SOII informed consent letter SOII_informed_consent_letter.docx 05/13/2024
2025 SOII Mandatory Collection Email 2025_Mandatory_SOII_collection.pdf 05/14/2025
2025 Mandatory Password Notice 2025_Mandatory_SOII_Collection_Password_Notice.pdf 05/14/2025
2026 Mandatory Prenote Notice 2026_Mandatory_SOII_Prenote.pdf 05/14/2025
Prenote Leaflet 2026_Item5_SOII_prenote_leaflet.pdf 05/14/2025
SOII Nonresponse letter 1 2025_Mandatory_SOII_collection_1stNonresponse.pdf 05/14/2025
SOII mandatory nonresponse letter 2 2025_Mandatory_SOII_collection_2ndNonresponse.pdf 05/14/2025
2025 SOII Internet Pamphlet 2025_Item16_Internet_pamphlet.pdf 05/14/2025
2026 Prenote letter - mandatory 2026_Item23_SOII_mandatory_prenote_letter.pdf 05/14/2025
Indian Tribal letter 2025_Indian_Tribal_letter.pdf 05/14/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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