Information Collection

Recordkeeping Occupational Injuries and Illnesses (29 CFR Part 1904)

IC 14117 under ICR 201901-1218-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
ITA Job Aides (01.24.19).pdf www.osha.gov/injuryreporting/ita/ Instruction
OSHA Forms 300, 30 Log of Work Related Injuries and Illnesses, Summary of W new-osha300form6-30-16 (2).xls www.osha.gov/recordkeeping/RKforms.html Form
OSHA Forms 300, 30 Log of Work Related Injuries and Illnesses, Summary of W RKform300pkg-InstruxOnly (2).pdf www.osha.gov/recordkeeping/RKforms.html Form and Instruction
OSHA 6-40.2 OSHA Injury Tracking Application Login screenshot ITA Sceen shots 01.25.19.docx www.osha.gov/injuryreporting/ita/ Form and Instruction
OSHA 6-40.2 OSHA Injury Tracking Application (mock-up of screen coll EIN screen shot.docx www.osha.gov/injuryreporting/ita/ 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(2019) Final Rule

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	OSHA Forms 300, 300A and 301	Log of Work Related Injuries and Illnesses, Summary of Work-Related Injuries and Illnesses, Injury and Illness Incident Reporting (Excel spreadsheets)	new-osha300form6-30-16 (2).xls	https://www.osha.gov/recordkeeping/RKforms.html	Yes	Yes	Fillable Fileable
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 (2).pdf	https://www.osha.gov/recordkeeping/RKforms.html	Yes	Yes	Fillable Fileable
Form and Instruction	OSHA 6-40.2	OSHA Injury Tracking Application Login screenshot	ITA Sceen shots 01.25.19.docx	https://www.osha.gov/injuryreporting/ita/	Yes	Yes	Fillable Fileable
Instruction			ITA Job Aides (01.24.19).pdf	https://www.osha.gov/injuryreporting/ita/	Yes	No	Printable Only
Form	OSHA 6-40.2	OSHA Injury Tracking Application (mock-up of screen collecting EIN information)	EIN screen shot.docx	https://www.osha.gov/injuryreporting/ita/	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, Farms

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,883,976	-329,263	20,623	6,192,616
Annual IC Time Burden (Hours)	2,130,856	-116,597	3,903	2,243,550
Annual IC Cost Burden (Dollars)	0	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.