OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Annual OSHA Injury and Illness Survey of Ten or More Employers -- 1904.17

ICR 199702-1218-004 · OMB 1218-0214 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
14199 Annual OSHA Injury and Illness Survey of Ten or More Employers -- 1904.17 Migrated
ICR Details
1218-0214 199702-1218-004
Historical Active
DOL/OSHA
Annual OSHA Injury and Illness Survey of Ten or More Employers -- 1904.17
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/03/1997
Retrieve Notice of Action (NOA) 02/11/1997
Approved as amended by DOL's 3/27/97 response to the public comment received.
  Inventory as of this Action Requested Previously Approved
04/30/2000 04/30/2000
80,000 0 0
1 0 0
0 0 0
Final Rule 1904.17 requiring employers to submit injury and illness data when OSHA requests the data by survey form.
None
None
No
1
IC Title Form No. Form Name
Annual OSHA Injury and Illness Survey of Ten or More Employers -- 1904.17
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 80,000 0 0 80,000 0 0
Annual Time Burden (Hours) 1 0 0 1 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/11/1997