View Information Collection (IC)

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BLS 9300 N06 SOII Form SOII_SY2016_Long_Form.pdf Yes No Fillable Printable
Instruction 2016 SOII instructions sheet - nonDJTR_revised.pdf Yes No Fillable Printable
Form and Instruction BLS 9300 Spanish SOII Form Item 1 - 2016 SOII Spanish Data Collection Book.pdf Yes No Fillable Printable
Instruction IDCF - 2016_revised.pdf Yes No Fillable Printable
Form and Instruction 9300 FAX SOII Fax Form 01_Alabama_2016.pdf Yes Yes Fillable Fileable
Form and Instruction IDCF SOII IDCF SOII IDCF ADOBE Screenshots.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt


13,000 0
State, Local, and Tribal Governments
   75 %

  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 13,000 0 0 0 0 13,000
Annual IC Time Burden (Hours) 8,417 0 0 0 0 8,417
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2017 Prenote - Mand 2017 SOII instructions sheet - Mand_prenote_revised.pdf 09/19/2016
Non-response Letter 1 Non-Response letter 1_2016.pdf 06/30/2016
Nonresponse letter 2 Non-Response letter 2_2016.pdf 06/30/2016
Data collection password email Data_collection_password_email.docx 06/30/2016
Mandatory pre-note email Mandatory_Prenote_email_message.docx 06/30/2016
Data Collection email message Data_Collection_email_message.docx 06/30/2016
Informed Consent Letter SOII Informed Consent Letter.pdf 06/30/2016
Mandatory prenotification Mandatory Pre-Notification_2017.pdf 06/30/2016
Internet Pamphlet 2016 Internet pamphlet_revised.pdf 09/19/2016
2017 Prenote leaflet 2017 Prenote Leaflet_revised.pdf 09/19/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.