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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 201803-1220-001 · OMB 1220-0149 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form OSHS FRW - A 2019 OSHS Cooperative Agreement Form and Instruction New Available
1220-0149 Part A OSHS FY 2019 Supporting Statement A Final.docx Supporting Statement A Uploaded 2018-04-12 Available
OSHS FY 2019 Note to Reviewer (1220-0149).doc Supplementary Document Uploaded 2018-03-06 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
230476 2019 OSHS Cooperative Agreement Form and Instruction New
ICR Details
1220-0149 201803-1220-001
Historical Active 201706-1220-001
DOL/BLS
Bureau of Labor Statistics Occupational Safety and Health Statistics Cooperative Agreement Application Package
Revision of a currently approved collection   No
Regular
Approved without change 05/28/2018
Retrieve Notice of Action (NOA) 04/27/2018
  Inventory as of this Action Requested Previously Approved
05/31/2021 36 Months From Approved 05/31/2018
445 0 406
400 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.
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
   US Code: 31 USC 6305 Name of Law: Federal Grant and Cooperative Agreement Act of 1977
  
None
Not associated with rulemaking
  82 FR 54416 11/17/2017
83 FR 18592 04/27/2018
No
1
IC Title Form No. Form Name
2019 OSHS Cooperative Agreement OSHS TCF, OSHS FRW - A, OSHS CA BV, OSHS CA, OSHS FRW - B, BLS-OSHS2, Property Listing Financial Reconciliation Worksheet ,   Financial Reconciliation Worksheet ,   Quarterly Financial Report ,   Budget Variance Request Form ,   Property Listing ,   Transmittal and Certification Form ,   OSHS Cooperative Agreement Work Statement
  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 445 406 0 39 0 0
Annual Time Burden (Hours) 400 367 0 33 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The increase in response and burden is due to the addition of the OSHS Budget Variance form and the OSHS FRW-B AAMC form.
$220,000
No
    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.
04/27/2018