View Information Collection (IC)

View Information Collection (IC)

IC Title:	Public Sector - Voluntary	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	Survey of Occupational Injuries and Illnesses	9300_SOII_SY2019_Long_Form OMB.doc		Yes	Yes	Fillable Printable
Instruction			9300 IDCF - 2019 .docx		Yes	Yes	Fillable Fileable
Form and Instruction	BLS9300 FAX	SOII Fax Form	01_Alabama_2019.docx		Yes	Yes	Fillable Fileable
Instruction			Item 15 - 2019 SOII instructions sheet - nonDJTR OMB revision with OSHA ITA_20190923.docx		Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	Screenshots	SOII IDCF screenshots 2019 (002).docx		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: 6,200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 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	6,200	0	0	-800	0	7,000
Annual IC Time Burden (Hours)	12,776	0	0	-98	0	12,874
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Data Collection password email	Data_collection_password_email.docx	08/21/2019
Data Collection Email	Data_Collection_email_message.docx	08/21/2019
Voluntary Prenote email	Voluntary_Prenote_email_message.docx	08/21/2019
Pre-note Voluntary	Item 5 - 2020 SOII instructions sheet - Vol_prenote.docx	08/21/2019
Voluntary Public Sector for Pre-Notification	Item 19 - Voluntary Public Sector Letter for Pre-Notification_2020.docx	08/21/2019
Voluntary Public Sector letter for Data collection	Item 20 - Voluntary Public Sector Letter for data collection_2019.docx	08/21/2019
Informed Consent Letter	SOII Informed Consent Letter.pdf	08/21/2019
Nonresponse Letter 1 - Vol	Item 21 - Voluntary Public Sector Letter for NR1_2019.docx	08/21/2019
Nonresponse Letter 2 - Vol	Item 22 - Voluntary Public Sector Letter for NR2_2019.docx	08/21/2019
Internet Pamphlet	Item 16 - 2019 Internet pamphlet.docx	08/21/2019
Prenote Leaflet	Item 5 - 2020 Prenote Leaflet.docx	08/21/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.