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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Public Sector - Voluntary
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
BLS 9300
Survey of Occupational Injuries and Illnesses
9300_SOII_SY2019_Long_Form OMB.doc
Yes
Yes
Fillable Printable
Instruction
9300 IDCF - 2019 .docx
Yes
Yes
Fillable Fileable
Form and Instruction
BLS9300 FAX
SOII Fax Form
01_Alabama_2019.docx
Yes
Yes
Fillable Fileable
Instruction
Item 15 - 2019 SOII instructions sheet - nonDJTR OMB revision with OSHA ITA_20190923.docx
Yes
Yes
Fillable Fileable
Form and Instruction
IDCF
Screenshots
SOII IDCF screenshots 2019 (002).docx
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX
SOII FAX Form
English Fax form.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX
SOII Spanish FAX form
Spanish Fax form.pdf
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:
6,200
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
Approved
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
6,200
0
0
0
0
6,200
Annual IC Time Burden (Hours)
12,776
0
0
0
0
12,776
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Data Collection password email
Data_collection_password_email.docx
08/21/2019
Data Collection Email
Data_Collection_email_message.docx
08/21/2019
Voluntary Prenote email
Voluntary_Prenote_email_message.docx
08/21/2019
Pre-note Voluntary
Item 5 - 2020 SOII instructions sheet - Vol_prenote.docx
08/21/2019
Voluntary Public Sector for Pre-Notification
Item 19 - Voluntary Public Sector Letter for Pre-Notification_2020.docx
08/21/2019
Voluntary Public Sector letter for Data collection
Item 20 - Voluntary Public Sector Letter for data collection_2019.docx
08/21/2019
Informed Consent Letter
SOII Informed Consent Letter.pdf
08/21/2019
Nonresponse Letter 1 - Vol
Item 21 - Voluntary Public Sector Letter for NR1_2019.docx
08/21/2019
Nonresponse Letter 2 - Vol
Item 22 - Voluntary Public Sector Letter for NR2.docx
01/29/2020
Internet Pamphlet
Item 16 - 2019 Internet pamphlet.docx
08/21/2019
Prenote Leaflet
Item 5 - 2020 Prenote Leaflet.docx
08/21/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.