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View Information Collection (IC)

Reporting Occupational Injuries and Illnesses
No Modified
29 CFR 1904.39

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction OSHA 6-40.1 Serious Event Reporting Online Form Serious event reporting form screenshots.pdf Yes Yes Fillable Fileable

Workforce Management Worker Safety


20,000 0
Private Sector Businesses or other for-profits
   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 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 10,000 0 0 0 0 10,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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