Information Collection

Log And Summary Of Occupational Injuries And Illnesses Supplementary Record Of Occupational Injuries And Illnesses

IC 123559 under ICR 198010-1220-002 · OMB 1220-0029.

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Information Collection (IC) Details

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IC Title:	LOG AND SUMMARY OF OCCUPATIONAL INJURIES AND ILLNESSES SUPPLEMENTARY RECORD OF OCCUPATIONAL INJURIES AND ILLNESSES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSHA 200				No	No
Form	OSHA 101				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 825,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,400,000	4,860,000	540,000
Annual IC Time Burden (Hours)	540,900	0	540,900
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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