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Agenda
Reg Review
ICR
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
BLS 9300
SOII IDCF and Instrument Screen shots
BLS IDCF and SOII Instrument.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 IDCF
IDCF 1st Mailing (non DJTR)
2011 SOII instructions sheet - nonDJTR.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300
SOII Adobe Form
2010 Adobe fillable form example.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX
SOII Fax Form
Fax Collection Form 2010 - AL.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300
Internet Pamphlet
2010 Internet pamphlet rev.docx
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300
2012 Pre-Note Leaflet
2012 Prenote Leaflet.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 N06
SOII 1st Mailing
2010 SOII First Mailing rev.docx
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 N06 Spanish
SOII Spanish collection book 1st non-response
2010 SOII Spanish Data Collection Book First Non-Response.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 N06
SOII Spanish Collection Book 2nd Non-response
2010 SOII Spanish Data Collection Book Second Non-Response.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 N06
Spanish Collection Booklet
2010 SOII Spanish Data Collection Book.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
IDCF
SOII IDCF
SOII IDCF - SY 2009.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 IDCF
IDCF 1st Mailing (DJTR)
2011 SOII instructions sheet - DJTR.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:
13,000
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
13,000
0
0
0
0
13,000
Annual IC Time Burden (Hours)
8,417
0
0
0
0
8,417
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Mandatory Pre-Units Notification
2011 Mandatory Units Pre-Notification.pdf
05/04/2010
Mandatory 1st Unit Non-response
2010 Mandatory Units First Non-Response letter.pdf
05/04/2010
Mandatory Units 2nd non-response letter
SOII Non-Response letter 2.pdf
05/04/2010
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.