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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:
Unchanged
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
SOII_SY2023_Long_Form OMB.pdf
Yes
Yes
Fillable Printable
Form and Instruction
BLS9300 FAX
SOII Fax Form
AL_2023_Fax form OMB.pdf
Yes
Yes
Fillable Fileable
Instruction
Item 000 - 2023 SOII instructions sheet - Voluntary OMB.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX
SOII FAX Form
Item 24 - Fax form English 2023 generic OMB.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX Spanish
SOII Spanish FAX Form
Item 25 - Fax form PR 2023 OMB.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
IDCF
SOII IDCF Screenshots
OMB_IDCF_Screenshots_v3.docx
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:
90 %
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)
8,996
0
0
0
0
8,996
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Data Collection password email
Voluntary 2023_Password_Notice_OMB.pdf
08/01/2023
Data Collection Email
Voluntary 2023 Survey of Occupational Injuries and Illnesses - OMB.pdf
08/01/2023
Voluntary Prenote email
Voluntary Prenote 2024 Survey of Occupational Injuries and Illnesses OMB.pdf
07/31/2023
Informed Consent Letter
SOII Informed Consent Letter.pdf
08/21/2019
Item 19 - Voluntary Pre-note 2022
Item 19 - Voluntary Public Sector Letter for Pre-Notification 2024 OMB.pdf
07/31/2023
Item 20 Voluntary letter for data collection 2022
Item 20 - Voluntary Public Sector Letter for data collection 2023 OMB.pdf
07/31/2023
Item 21 - Voluntary NR1 2022
Item 21 - Voluntary Public Sector Letter for NR1 2023 OMB.pdf
07/31/2023
Item 22 - Voluntary NR2 2022
Item 22 - Voluntary Public Sector Letter for NR2 2023 with fax option OMB.pdf
07/31/2023
Item 16 2021 Internet Pamphlet
Item 16 - 2023 Internet pamphlet OMB.pdf
07/31/2023
Item 5 2022 Prenote Leaflet
Item 5 - 2024 Prenote Leaflet OMB.pdf
07/31/2023
Prenote voluntary password email
Voluntary 2023_Password_Notice_OMB.pdf
08/01/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.