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Federal forms, ICRs, and supporting documents

Information Collection Request

Annual OSHA Injury and Illness Survey of Ten or More Employers

ICR 199912-1218-003 · 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
38498 Annual OSHA Injury and Illness Survey of Ten or More Employers Migrated
ICR Details
1218-0214 199912-1218-003
Historical Active 199702-1218-004
DOL/OSHA
Annual OSHA Injury and Illness Survey of Ten or More Employers
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/06/1999
Retrieve Notice of Action (NOA) 12/06/1999
  Inventory as of this Action Requested Previously Approved
12/31/1999 12/31/1999 04/30/2000
80,000 0 80,000
1 0 1
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
  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 80,000 0 0 0 0
Annual Time Burden (Hours) 1 1 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
12/06/1999