View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Survey of Occupational Injuries and Ilnesses - State and Local - Mandatory
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BLS 9300 N06 SOII Collection Form 2024_SOII_Long_Form.pdf Yes Yes Fillable Printable
Instruction 2024_Item15_SOII_IDCF_Instructions.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 SOII Collection Form Spanish 2024_Item1_SOII_Spanish_data_collection.pdf Yes Yes Fillable Printable
Form and Instruction BLS 9300 FAX SOII FAX form 2024_Item24_SOII_fax_form_English_generic_mail.pdf Yes Yes Fillable Fileable
Form and Instruction BLS 9300 FAX SOII FAX Form Spanish 2024_Item25_SOII_fax_form_Spanish.pdf Yes Yes Fillable Fileable
Form and Instruction IDCF IDCF Collection Instrument Screenshots 2024_omb_screenshots.pdf Yes Yes Fillable Fileable
Form and Instruction BLS-9300-FAX SOII 2024 FAX Form - Example Alabama 2024_SOII_Fax_form.pdf Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

15,100 0
   
State, Local, and Tribal Governments
 
   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 15,100 0 300 0 0 14,800
Annual IC Time Burden (Hours) 11,892 0 3,062 0 0 8,830
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SOII informed consent letter SOII_informed_consent_letter.docx 05/13/2024
2024 Mandatory Collection Notice 2024_Mandatory_SOII_collection.pdf 05/13/2024
2024 SOII Collection Password Notice 2024_Mandatory_SOII_collection_Password_Notice.pdf 05/13/2024
2025 Mandatory Prenote message 2025_Mandatory_SOII_Prenote.pdf 05/13/2024
2025 Prenote leaflet 2025_Item5_SOII_Prenote_leaflet.pdf 05/13/2024
Item 17 Nonresponse letter 1 2024_Item17_SOII_NR1_letter_rev.pdf 08/16/2024
Item 18 Nonresponse letter 2 2024_Item18_SOII_NR2_letter_rev.pdf 08/16/2024
2024 Internet pamphlet 2024_Item16_SOII_Internet_pamphlet.pdf 05/13/2024
2025 Prenote Letter 2025_Item23_SOII_mandatory_prenote_letter_rev.pdf 08/16/2024
2025 Mandatory Prenote Password Notice 2025_Mandatory_SOII_Prenote_Password_Notice.pdf 05/13/2024
Indian Tribal Letter SOII_Indian_Tribal_Letter_rev.pdf 08/16/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.