View Information Collection (IC)
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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 N06
Survey of Occupational Injuries and Illnesses
2025_SOII_Long_form.pdf
https://idcf.bls.gov/authentication/login
Yes
No
Fillable Printable
Instruction
2025_Item15_SOII_IDCF_Instructions.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 N06
Survey of Occupational Injuries and Illnesses - Spanish
2025_Item1_SOII_Spanish_Data_Collection.pdf
Yes
No
Fillable Printable
Form and Instruction
BLS 9300 FAX
SOII 2025 FAX
2025_Item24_SOII_fax_fom_English_generic_mail.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX
SOII 2025 FAX Spanish
2025_Item25_SOII_fax_form_Spanish.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
SOII IDCF
SOII IDCF Screenshots
SOII_IDCF_Screenshots_2025.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX
SOII FAX Form - State Specific
2025_SOII_state-specific_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:
15,100
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
15,100
0
0
0
0
15,100
Annual IC Time Burden (Hours)
11,892
0
0
0
0
11,892
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SOII informed consent letter
SOII_informed_consent_letter.docx
05/13/2024
2025 SOII Mandatory Collection Email
2025_Mandatory_SOII_collection.pdf
05/14/2025
2025 Mandatory Password Notice
2025_Mandatory_SOII_Collection_Password_Notice.pdf
05/14/2025
2026 Mandatory Prenote Notice
2026_Mandatory_SOII_Prenote.pdf
05/14/2025
Prenote Leaflet
2026_Item5_SOII_prenote_leaflet.pdf
05/14/2025
SOII Nonresponse letter 1
2025_Mandatory_SOII_collection_1stNonresponse.pdf
05/14/2025
SOII mandatory nonresponse letter 2
2025_Mandatory_SOII_collection_2ndNonresponse.pdf
05/14/2025
2025 SOII Internet Pamphlet
2025_Item16_Internet_pamphlet.pdf
05/14/2025
2026 Prenote letter - mandatory
2026_Item23_SOII_mandatory_prenote_letter.pdf
05/14/2025
Indian Tribal letter
2025_Indian_Tribal_letter.pdf
05/14/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.