Information Collection

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

IC 179004 under ICR 202504-1220-001 · OMB 1220-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS 9300 N06 Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	Form and Instruction
Form BLS 9300 N06 Survey of Occupational Injuries and Illnesses Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	Form and Instruction
Form BLS 9300 N06 Survey of Occupational Injuries and Illnesses - Spanish Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	Form and Instruction
Form BLS 9300 FAX SOII 2025 FAX Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	Form and Instruction
Form BLS 9300 FAX SOII 2025 FAX Spanish Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	Form and Instruction
Form SOII IDCF SOII IDCF Screenshots Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	Form and Instruction
Form BLS 9300 FAX SOII FAX Form - State Specific Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory	Form and Instruction
2025_Item15_SOII_IDCF_Instructions.pdf	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 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 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 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
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
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
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
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.pdf 2025 SOII Mandatory Collection Email	IC Document
2025_Mandatory_SOII_Collection_Password_Notice.pdf 2025 Mandatory Password Notice	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_Mandatory_SOII_Prenote.pdf 2026 Mandatory Prenote Notice	IC Document
2026_Item5_SOII_prenote_leaflet.pdf Prenote Leaflet	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_1stNonresponse.pdf SOII Nonresponse letter 1	IC Document
2025_Mandatory_SOII_collection_2ndNonresponse.pdf SOII mandatory nonresponse letter 2	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
2025_Item16_Internet_pamphlet.pdf 2025 SOII Internet Pamphlet	IC Document
2026_Item23_SOII_mandatory_prenote_letter.pdf 2026 Prenote letter - mandatory	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
2025_Indian_Tribal_letter.pdf Indian Tribal letter	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 9300 N06	https://idcf.bls.gov/authentication/login	Yes	No	Fillable Printable
Instruction			Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06		Yes	No	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	SOII IDCF		Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,100

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

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

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SOII informed consent letter		05/13/2024
2025 SOII Mandatory Collection Email		05/14/2025
2025 Mandatory Password Notice		05/14/2025
2026 Mandatory Prenote Notice		05/14/2025
Prenote Leaflet		05/14/2025
SOII Nonresponse letter 1		05/14/2025
SOII mandatory nonresponse letter 2		05/14/2025
2025 SOII Internet Pamphlet		05/14/2025
2026 Prenote letter - mandatory		05/14/2025
Indian Tribal letter		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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