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Agenda
Reg Review
ICR
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
SOII_SY2021_Long_Form.docx
Yes
Yes
Fillable Printable
Form and Instruction
BLS9300 FAX
SOII Fax Form
AK_2021.docx
Yes
Yes
Fillable Fileable
Instruction
Item 000 - 2021 SOII instructions sheet - Voluntary.docx
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX
SOII FAX Form
Fax_form_English_2021 generic.docx
Yes
Yes
Fillable Fileable
Form and Instruction
BLS 9300 FAX Spanish
SOII Spanish FAX Form
Fax_form_PR_2021_v2.docx
Yes
Yes
Fillable Fileable
Form and Instruction
IDCF
SOII IDCF Screenshots
OMB_IDCF_Screenshots_v3.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:
90 %
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
160
0
0
6,040
Annual IC Time Burden (Hours)
8,996
0
-3,604
0
0
12,600
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Data Collection password email
collection voluntary pass.msg
07/28/2021
Data Collection Email
collection voluntary 2021.msg
07/28/2021
Voluntary Prenote email
prenote voluntary 2022.msg
07/28/2021
Informed Consent Letter
SOII Informed Consent Letter.pdf
08/21/2019
Item 19 - Voluntary Pre-note 2022
Item 19 - Voluntary Public Sector Letter for Pre-Notification_2022.docx
06/28/2021
Item 20 Voluntary letter for data collection 2021
Item 20 - Voluntary Public Sector Letter for data collection_2021.docx
06/28/2021
Item 21 - Voluntary NR1 2021
Item 21 - Voluntary Public Sector Letter for NR1_2021.docx
06/28/2021
Item 22 - Voluntary NR2 2021
Item 22 - Voluntary Public Sector Letter for NR2_2021 with fax option.docx
06/28/2021
Item 16 2021 Internet Pamphlet
Item 16 - 2021 Internet pamphlet.docx
06/28/2021
Item 5 2022 Prenote Leaflet
Item 5 - 2022 Prenote Leaflet.docx
06/28/2021
Prenote voluntary password email
prenote voluntary pass.msg
07/28/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.