Information Collection

OSHA Data Initiative (ODI) Private Sector

IC 14195 under ICR 200609-1218-001 · OMB 1218-0209.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0209 can be found here:

Documents and Forms

Document Name Document Type
Form OSHA Form 196B OSHA Data Initiative (ODI) Private Sector Form and Instruction
OSHA Form 196B OSHA Work-Related Injury and Illness Data Collections Fo OSHA Form 196.pdf www.osha.gov/form196/cy05.htm Form and Instruction
OSHA Form 196A OSHA Work-Related Injury and Illness Data Collection For OSHA Form 196A.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OSHA Data Initiative (ODI) Private Sector	Agency IC Tracking Number:	1218-0209(2006)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1904

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSHA Form 196B	OSHA Work-Related Injury and Illness Data Collections Form, 2005	OSHA Form 196.pdf	http://www.osha.gov/form196/cy05.htm	Yes	Yes	Fillable Fileable
Form and Instruction	OSHA Form 196A	OSHA Work-Related Injury and Illness Data Collection Form, 2005	OSHA Form 196A.pdf		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 99,800	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 18 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	99,800	3,125	96,675
Annual IC Time Burden (Hours)	16,633	1,154	15,479
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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