Information Collection

Census of Fatal Occupational Injuries - Federal Government

IC 14631 under ICR 201906-1220-002 · OMB 1220-0133.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0133 can be found here:

Documents and Forms

Document Name Document Type
Form BLS CFOI-1 Census of Fatal Occupational Injuries - Federal Government Form and Instruction
Attachment 2B - Letter requesting source documents.docx Instruction
BLS CFOI-1 Census of Fatal Occupational Injuries Report CFOI-1.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Census of Fatal Occupational Injuries - Federal Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS CFOI-1	Census of Fatal Occupational Injuries Report	CFOI-1.docx		Yes	Yes	Fillable Fileable
Instruction			Attachment 2B - Letter requesting source documents.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 41 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21	-2	23
Annual IC Time Burden (Hours)	73	-1	74
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.