Information Collection

Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)

IC 14117 under ICR 201807-1218-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form OSHA Forms 300, 30 Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904) Form and Instruction
OSHA Forms 300, 30 Log of Work Related Injuries and Illnesses, Summary of W RKform300pkg-InstruxOnly.pdf www.osha.gov/recordkeeping/RKforms.html Form and Instruction
OSHA Injury Tracki OSHA Form 6-40.2 OSHA Form 6-40.2.pdf www.osha.gov/injuryreporting/ita/ Form and Instruction
OSHA 6-40.2 Proposed OSHA Injury Tracking Application screen collect EIN Mock-Up.png Form
OSHA Forms 300, 30 Excel Spreadsheets - Log of Work Related Injuries and Il new-osha300form6-30-16 (2).xls www.osha.gov/recordkeeping/RKforms.html Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)	Agency IC Tracking Number:	1218-0176(2018)- Tracking NPRM

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 Forms 300, 300A and 301	Log of Work Related Injuries and Illnesses, Summary of Work-Related Injuries and Illnesses, Injury and Illness Incident Report	RKform300pkg-InstruxOnly.pdf	https://www.osha.gov/recordkeeping/RKforms.html	Yes	Yes	Fillable Fileable
Form and Instruction	OSHA Injury Tracking Application	OSHA Form 6-40.2	OSHA Form 6-40.2.pdf	https://www.osha.gov/injuryreporting/ita/	Yes	Yes	Fillable Fileable
Form	OSHA 6-40.2	Proposed OSHA Injury Tracking Application screen collecting EIN information	EIN Mock-Up.png		Yes	Yes	Fillable Fileable
Form	OSHA Forms 300, 300A and 301	Excel Spreadsheets - Log of Work Related Injuries and Illnesses, Summary of Work-Related Injuries and Illnesses, Injury and Illness Incident Report	new-osha300form6-30-16 (2).xls	https://www.osha.gov/recordkeeping/RKforms.html	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 982,912	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,819,692	-372,924	6,192,616
Annual IC Time Burden (Hours)	2,126,953	-116,597	2,243,550
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.