Information Collection

Occupational Safety and Health Statistics Cooperative Agreement Application Package

IC 264780 under ICR 202504-1220-004 · OMB 1220-0149.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0149 can be found here:

2026-04-17 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BLS OSHS BIF Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form
Form BLS OSHS BIF BLS OSHS Budget Information Form Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form
Form BLS OSHS BV BLS OSHS Budget Variance Request Form Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form and Instruction
Form BLS OSHS TCF BLS OSHS Transmittal and Certification Form Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form
Form BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Programs Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form and Instruction
Form BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Programs Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form and Instruction
Form BLS OSHS Property BLS OSHS Property Listing Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form and Instruction
Form BLS OSHS 2 BLS OSHS Quarterly Financial Report Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form and Instruction
Form FY2026 OSHS CA FY2026 OSHS Cooperative Agreement Occupational Safety and Health Statistics Cooperative Agreement Application Package	Form and Instruction
BLS OSHS BIF BLS OSHS Budget Information Form 2026 OSHS BIF.pdf	Form
BLS OSHS BIF BLS OSHS Budget Information Form 2026 OSHS BIF.pdf	Form
BLS OSHS BV BLS OSHS Budget Variance Request Form 2026 OSHS Budget Variance Form.pdf	Form and Instruction
BLS OSHS BV BLS OSHS Budget Variance Request Form 2026 OSHS Budget Variance Form.pdf	Form and Instruction
BLS OSHS TCF BLS OSHS Transmittal and Certification Form 2026 OSHS TCF.pdf	Form
BLS OSHS TCF BLS OSHS Transmittal and Certification Form 2026 OSHS TCF.pdf	Form
BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Progr 2026 OSHS FRW-A.pdf	Form and Instruction
BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Progr 2026 OSHS FRW-A.pdf	Form and Instruction
BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Progr 2026 OSHS FRW-B.pdf	Form and Instruction
BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Progr 2026 OSHS FRW-B.pdf	Form and Instruction
BLS OSHS Property BLS OSHS Property Listing 2026 OSHS Property Listing.pdf	Form and Instruction
BLS OSHS Property BLS OSHS Property Listing 2026 OSHS Property Listing.pdf	Form and Instruction
BLS OSHS 2 BLS OSHS Quarterly Financial Report 2026 OSHS2.pdf	Form and Instruction
BLS OSHS 2 BLS OSHS Quarterly Financial Report 2026 OSHS2.pdf	Form and Instruction
FY2025 OSHS CA FY2025 OSHS Cooperative Agreement FY 2026 OSHS CA.docx	Form and Instruction
FY2026 OSHS CA FY2026 OSHS Cooperative Agreement FY 2026 OSHS CA.docx	Form and Instruction
FY 2026 OSHS Memo to States 4.24.2025.docx FY2026 Memo to the States	IC Document
FY 2026 OSHS Memo to States 4.24.2025.docx FY2026 Memo to the States	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Occupational Safety and Health Statistics Cooperative Agreement Application Package

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BLS OSHS BIF	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS BV	Yes	Yes	Fillable Fileable Signable
Form	BLS OSHS TCF	Yes	Yes	Fillable Fileable Signable
Form and Instruction	BLS OSHS FRW-A	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS FRW-B AAMC	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS Property Listing	Yes	Yes	Fillable Fileable
Form and Instruction	FY2026 OSHS CA	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: 55

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FY2026 Memo to the States		04/24/2025

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

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