View Information Collection (IC)

View Information Collection (IC)

Survey of Occupational Injuries and Illnesses - Private Sector
No Unchanged

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BLS 9300 Survey of Occupational Injuries and Illnesses SOII_SY2016_Long_Form.pdf Yes Yes Fillable Printable
Form and Instruction IDCF IDCF Screen Shots SOII IDCF ADOBE Screenshots.docx Yes Yes Fillable Fileable
Form and Instruction BLS 9300 N06 SoII Data Collection Booklet - Spanish Version Item 1 - 2016 SOII Spanish Data Collection Book.pdf Yes Yes Fillable Printable
Instruction IDCF - 2016_revised.pdf Yes Yes Fillable Fileable
Form and Instruction BLS9300 FAX SOII 2016 01_Alabama_2016.pdf Yes Yes Fillable Fileable
Instruction 2016 SOII instructions sheet - DJTR_revised.pdf Yes Yes Fillable Fileable
Instruction 2016 SOII instructions sheet - nonDJTR_revised.pdf Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt


220,000 104,849
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
   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 220,000 0 0 0 0 220,000
Annual IC Time Burden (Hours) 289,334 0 0 0 0 289,334
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2017 Prenote - Mandatory 2017 SOII instructions sheet - Mand_prenote_revised.pdf 09/19/2016
Non-response Letter 1 Non-Response letter 1_2016_revised.pdf 09/19/2016
Non-response letter 2 Non-Response letter 2_2016_revised.pdf 09/19/2016
Non-response letter 1 DJTR Non-Response letter 1 DJTR_2016.pdf 06/29/2016
Non-response letter 2 - DJTR Non-Response letter 2 DJTR_2016.pdf 06/29/2016
Data Collection password email Data_collection_password_email.docx 06/29/2016
Mandatory Prenote email Mandatory_Prenote_email_message.docx 06/29/2016
Informed Consent Letter SOII Informed Consent Letter.pdf 06/29/2016
Mandatory Prenote DJTR 2017 Mandatory Pre-Notification-DJTR_2017.pdf 06/29/2016
Mandatory Prenote 2017 Mandatory Pre-Notification_2017.pdf 06/29/2016
Mandatory DJTR letter 2016 Mandatory DJTR letter data collection_2016.pdf 06/29/2016
2016 Internet Pamphlet 2016 Internet pamphlet_revised.pdf 09/19/2016
2017 Prenote Leaflet 2017 Prenote Leaflet_revised.pdf 09/19/2016
Data Collection Email message Data_Collection_email_message.docx 06/30/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.