View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Survey of Occupational Injuries and Illnesses - Private Sector
 
No Modified
 
Mandatory
 

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_SY2018_Long_Form.pdf Yes Yes Fillable Printable
Form and Instruction IDCF IDCF Screen Shots SOII IDCF_20181004.docx Yes Yes Fillable Fileable
Form and Instruction BLS 9300 N06 SoII Data Collection Booklet - Spanish Version Item 1 - 2018 SOII Spanish Data Collection Book.pdf Yes Yes Fillable Printable
Instruction Item 15 -- IDCF - 2018.pdf Yes Yes Fillable Fileable
Form and Instruction BLS9300 FAX SOII 2016 Fax form 2018 Example.pdf Yes Yes Fillable Fileable
Instruction Item 000 - 2018 SOII instructions sheet - DJTR.pdf Yes Yes Fillable Fileable
Instruction Item 000 - 2018 SOII instructions sheet - nonDJTR.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) 296,651 0 3,067 0 0 293,584
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2017 Prenote - Mandatory Item 000 - 2019 SOII instructions sheet - Mand_prenote.pdf 10/10/2018
Non-response Letter 1 Item 17 - Non-Response letter 1_2018.pdf 10/10/2018
Non-response letter 2 Item 18 - Non-Response letter 2_2018.pdf 10/10/2018
Non-response letter 1 DJTR Item 26 - Non-Response letter 1 DJTR_2018.pdf 10/10/2018
Non-response letter 2 - DJTR Item 27 - Non-Response letter 2 DJTR_2018.pdf 10/10/2018
Data Collection password email Data_collection_password RY2018.docx 10/10/2018
Mandatory Prenote email Mandatory_Prenote 2019.docx 10/10/2018
Informed Consent Letter SOII Informed Consent Letter.pdf 06/29/2016
Mandatory Prenote DJTR 2019 Item 24 - Mandatory Pre-Notification-DJTR_2019.pdf 10/10/2018
Mandatory Prenote 2019 Item 23 - Mandatory Pre-Notification_2019.pdf 10/10/2018
Mandatory DJTR letter 2016 Item 25 - Mandatory DJTR letter data collection_2018.pdf 10/10/2018
2016 Internet Pamphlet Item 16 -- 2018 Internet pamphlet.pdf 10/10/2018
2018 Prenote Leaflet Item 5 -- 2019 Prenote Leaflet.pdf 10/10/2018
Data Collection Email message Data_Collection RY2018.docx 10/10/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.