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 Illnesses - Private Sector
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
SOII 2024 Collection Form
2024_SOII_Long_Form.pdf
Yes
Yes
Fillable Printable
Instruction
2024_Item000_SOII_instructions_sheet_Mandatory.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
BLS9300 FAX
SOII 2024 FAX
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
BLS 9300
SOII Collection Form Spanish
2024_Item1_SOII_Spanish_data_collection.pdf
Yes
Yes
Fillable Printable
Instruction
2024_Item15_SOII_IDCF_Instructions.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
IDCF
IDCF Collection 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
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:
207,300
Number of Respondents for Small Entity:
104,849
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
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
207,300
0
-4,500
0
0
211,800
Annual IC Time Burden (Hours)
190,963
0
20,930
0
0
170,033
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 Mandatory Prenote Email
2025_Mandatory_SOII_Prenote.pdf
05/13/2024
2024 Data Collection email
2024_Mandatory_SOII_collection.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
Item 23 2025 mandatory prenote letter
2025_Item23_SOII_mandatory_prenote_letter_rev.pdf
08/16/2024
2024 Internet Pamphlet
2024_Item16_SOII_Internet_pamphlet.pdf
05/13/2024
2025 prenote leaflet
2025_Item5_SOII_Prenote_leaflet.pdf
05/13/2024
Data Collection Password Notice
2024_Mandatory_SOII_collection_Password_Notice.pdf
05/13/2024
2025 Prenote password notice email
2025_Mandatory_SOII_Prenote_Password_Notice.pdf
05/13/2024
2024 mandatory 1st nonresponse email
2024_Voluntary_SOII_collection_1stNonresponse.pdf
05/13/2024
2024 nandatiry 2nd nonresponse email
2024_Mandatory_SOII_collection_2ndNonresponse.pdf
05/13/2024
2024 mandatory 3rd nonresponse email
2024_Voluntary_SOII_collection_3rdNonresponse.pdf
05/13/2024
SOII Pecollection test letter
SOII_precollection_letter_test.docx
05/13/2024
Indian Tribal Letter
SOII_Indian_Tribal_Letter_rev.pdf
08/16/2024
SOII Precollection Letter - Test
SOII_precollection_letter_test.docx
06/17/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.