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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
1220-0149
ICR Reference No:
202102-1220-001
Status:
Historical Active
Previous ICR Reference No:
202004-1220-004
Agency/Subagency:
DOL/BLS
Agency Tracking No:
Title:
Bureau of Labor Statistics Occupational Safety and Health Statistics Cooperative Agreement Application Package
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
06/11/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/16/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2024
36 Months From Approved
06/30/2021
Responses
445
0
445
Time Burden (Hours)
386
0
400
Cost Burden (Dollars)
0
0
0
Abstract:
The BLS signs cooperative agreements with States, and political subdivisions thereof, to assist them in developing and administering programs that deal with occupational safety and health statistics and to arrange through these agreements for research to further the objectives of the Occupational Safety and Health Act.
Authorizing Statute(s):
US Code:
31 USC 6305
Name of Law: Federal Grant and Cooperative Agreement Act of 1977
US Code:
29 USC 669
Name of Law: Occupational Safety and Health Act of 1970
US Code:
29 USC 1 and 2
Name of Law: BLS Authorzing Statute
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
85 FR 73514
11/18/2020
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 20206
04/16/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Occupational Safety and Health Statistics Cooperative Agreement Application Package
BLS OSHS Property Listing, BLS OSHS TCF, BLS OSHS FRW-B:AAMC, BLS OSHS FRW-A: Base Programs , OSHS CA, BLS-OSHS2, OSHS CA BV
BLS-OSHS Quarterly Financial Report
,
OSHS Cooperative Agreement Budget Variance Request Form
,
Transmittal and Certification Form
,
BLS OSHS Financial Reconciliation Worksheet (FRW-B: AAMC Programs)
,
BLS OSHS Financial Reconciliation Worksheet (FRW-A: Base Programs)
,
BLS OSHS Property Listing
,
OSHS Cooperative Agreement Package
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
445
445
0
0
0
0
Annual Time Burden (Hours)
386
400
0
0
-14
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Burden estimate has been recalculated to be a more precise estimate of the time required to complete the forms.
Annual Cost to Federal Government:
$260,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Amy Hobby 2026934553
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
04/16/2021