Information Collection

Recording and Reporting Occupational Injuries and Illnesses -- 29 CFR Part 1904

IC 14111 under ICR 199709-1218-014 · OMB 1218-0176.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0176 can be found here:

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Information Collection (IC) Details

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IC Title:	Recording and Reporting Occupational Injuries and Illnesses -- 29 CFR Part 1904	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	200				No	No
Form	101				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 816,766	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,089,182	5,049,182	40,000
Annual IC Time Burden (Hours)	1,682,901	190,191	1,492,710
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

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