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Federal forms, ICRs, and supporting documents

Information Collection Request

Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8)

ICR 200005-1218-001 · OMB 1218-0007 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
13947 Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8) Migrated
ICR Details
1218-0007 200005-1218-001
Historical Active 199705-1218-001
DOL/OSHA
Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8)
Extension without change of a currently approved collection   No
Regular
Approved without change 07/28/2000
Retrieve Notice of Action (NOA) 05/31/2000
Approved consistent with clarification in DOL memo of 7-20-00.
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003 07/31/2000
3,064 0 1
766 0 1,587
0 0 0
All workplace fatalities and incidents involving the in-patient hospitalization of three or more employees must be reported to OSHA to allow the agency to schedule an inspection/investigation of the occurrance. Such reporting is required by regulation.
None
None
No
1
IC Title Form No. Form Name
Reporting of Fatality and Multiple Hospitalization Incidents (29 CFR 1904.8)
  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 3,064 1 0 0 3,063 0
Annual Time Burden (Hours) 766 1,587 0 0 -821 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.
05/31/2000