Information Collection

OSHA Data Initiative (State,Local or Tribal Gov't)

IC 45389 under ICR 200912-1218-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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
196b2008-notification.pdf Instruction
OSHA Form 196B OSHA Work-Related Injury and Illness Data Collection For 196b2008-surveyform.pdf www.osha.gov/form196/cy08.htm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OSHA Data Initiative (State,Local or Tribal Gov't)	Agency IC Tracking Number:	1218-0209(2009)

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
Instruction			196b2008-notification.pdf		No		Printable Only
Form and Instruction	OSHA Form 196B	OSHA Work-Related Injury and Illness Data Collection Form	196b2008-surveyform.pdf	http://www.osha.gov/form196/cy08.htm	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	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.