Information Collection

29 CFR Part 1904 Recordkeeping and Reporting Occupational Injuries and Illnesses

IC 14117 under ICR 201001-1218-003 · OMB 1218-0176.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Summary and Explanation.pdf Instruction
OSHA 300 Log of Work-Related Injuries and Illnesses OSHA_Form_300_29Jan10.pdf Form
OSHA 300A Summary of Work-Related Injuries and Illnesses OSHA_Form_300A_29Jan10.pdf Form
OSHA 301 Injury and Illness Report OSHA_Form_301_29Jan10.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	29 CFR Part 1904 Recordkeeping and Reporting Occupational Injuries and Illnesses	Agency IC Tracking Number:	1218-0176(2008)

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1904

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Summary and Explanation.pdf	Yes	No	Fillable Printable
Form	OSHA 300	Log of Work-Related Injuries and Illnesses	OSHA_Form_300_29Jan10.pdf	Yes	No	Fillable Printable
Form	OSHA 300A	Summary of Work-Related Injuries and Illnesses	OSHA_Form_300A_29Jan10.pdf	Yes	No	Fillable Printable
Form and Instruction	OSHA 301	Injury and Illness Report	OSHA_Form_301_29Jan10.pdf	Yes	No	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,541,900	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,357,600	0	7,357,600
Annual IC Time Burden (Hours)	3,226,543	153,563	3,072,980
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.