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Federal forms, ICRs, and supporting documents

Information Collection Request

Bureau of Labor Statistics Occupational Safety and Health Statistics Cooperative Agreement Application Package

ICR 201604-1220-002 · OMB 1220-0149 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form OSHS FRW OSHS Cooperative Agreement Form and Instruction Modified Repair queued
Note to Reviewer (1220-0149).doc Justification for No Material/Nonsubstantive Change Uploaded 2016-04-12 Available
OSHS FY 2016 Supporting Statement (1220-0149) Final.docx Supporting Statement A Uploaded 2015-04-03 Repair queued
OSHS FY 2016 Note to Reviewer (1220-0149).doc Supplementary Document Uploaded 2015-02-25 Available
IC Document Collections
IC IDCollectionTypeStatusForm
215287 OSHS Cooperative Agreement Form and Instruction Modified
ICR Details
1220-0149 201604-1220-002
Historical Active 201502-1220-007
DOL/BLS
Bureau of Labor Statistics Occupational Safety and Health Statistics Cooperative Agreement Application Package
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/16/2016
Retrieve Notice of Action (NOA) 04/21/2016
  Inventory as of this Action Requested Previously Approved
05/31/2018 05/31/2018 05/31/2018
406 0 406
367 0 367
0 0 0
The BLS signs cooperative agreements with States, and political subdivisions thereof, to assist them in developing and administering programs that deal with occupational safety and health statistics and to arrange through these agreements for research to further the objectives of the Occupational Safety and Health Act. The Occupational Safety and Health Statistics Cooperative Agreement application package attached here for approval is representative of the package sent every year to the State agencies and is, therefore, considered a generic package.
US Code: 31 USC 6305 Name of Law: Federal Grant and Cooperative Agreement Act of 1977
   US Code: 29 USC 669 Name of Law: Occupational Safety and Health Act of 1970
   US Code: 29 USC 1 and 2 Name of Law: BLS Authorzing Statute
  
None
Not associated with rulemaking
  79 FR 67194 11/12/2014
80 FR 18259 04/03/2015
No
1
IC Title Form No. Form Name
OSHS Cooperative Agreement OSHS CA, OSHS FRW, OSHS TCF, BLS OSHS PL, BLS OSHS2 BLS OSHS Financial Reconciliation Worksheet ,   OSHS Transmittal and Certification Form ,   BLS OSHS Property Listing ,   BLS-OSHS Quareterly Financial Report ,   OSHS Cooperative Agreement - FY 2016
  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 406 406 0 0 0 0
Annual Time Burden (Hours) 367 367 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$200,000
No
No
No
No
No
Uncollected
Amy Hobby 2026934553
  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.
04/21/2016