View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Injury Tracking Application (ITA) 3.0 Beta Testing	Agency IC Tracking Number:

IC Status: New

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	N/A	BETA Test Feedback Form ITA 3.0	BETA Test Feedback Form ITA 3.0 08172023 FINAL_OCIO.docx	https://ddp-preview.osha.gov/injuryreporting/ita	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Beta test invitation	Beta test invitation 8.172023 FINAL_OCIO.docx	https://ddp-preview.osha.gov/injuryreporting/ita	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	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	90	0	90	0	0	0
Annual IC Time Burden (Hours)	105	0	105	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Injury Tracking Application (ITA) 3.0 Beta Testing	1225-0088 Generic Clearance Template for Beta Testing 8-172023 OCIO_final clean.docx	08/18/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.