OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

BLS Occupational Safety and Health Statistics Cooperative Agreement Application Package

ICR 202504-1220-004 · OMB 1220-0149 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form FY2026 OSHS CA FY2026 OSHS Cooperative Agreement Form and Instruction Modified Available
Form BLS OSHS 2 BLS OSHS Quarterly Financial Report Form and Instruction Modified Repair queued
Form BLS OSHS Property BLS OSHS Property Listing Form and Instruction Modified Available
Form BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Programs Form and Instruction Modified Available
Form BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Programs Form and Instruction Modified Available
Form BLS OSHS TCF BLS OSHS Transmittal and Certification Form Form Modified Available
Form BLS OSHS BV BLS OSHS Budget Variance Request Form Form and Instruction Modified Repair queued
Form BLS OSHS BIF BLS OSHS Budget Information Form Form Modified Repair queued
Form BLS OSHS BIF Occupational Safety and Health Statistics Cooperative Agreement Application Package Form Modified Repair queued
Note to Reviewer - FY 2026 OSHS CA 4.24.2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-24 Available
Note to Reviewer - FY 2026 OSHS CA 4.24.2025.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-24 Repair queued
OSHS Cooperative Agreement Supporting Statement.docx Supporting Statement A Uploaded 2024-03-01 Available
OSHS Cooperative Agreement Supporting Statement.docx Supporting Statement A Uploaded 2024-03-01 Repair queued
31 U.S. Code § 6305 - Using cooperative agreements.pdf Supplementary Document Uploaded 2021-04-15 Repair queued
31 U.S. Code § 6305 - Using cooperative agreements.pdf Supplementary Document Uploaded 2021-04-15 Repair queued
29 U.S. Code § 669 - Research and related activities.pdf Supplementary Document Uploaded 2021-04-15 Available
29 U.S. Code § 669 - Research and related activities.pdf Supplementary Document Uploaded 2021-04-15 Repair queued
29 U.S. Code § 2.pdf Supplementary Document Uploaded 2021-04-15 Available
29 U.S. Code § 2.pdf Supplementary Document Uploaded 2021-04-15 Repair queued
29 U.S. Code § 1.pdf Supplementary Document Uploaded 2021-04-15 Repair queued
29 U.S. Code § 1.pdf Supplementary Document Uploaded 2021-04-15 Repair queued
FR1 1220-0149 (12-8-2023).pdf Supplementary Document Uploaded 2024-03-01 Available
FR1 1220-0149 (12-8-2023).pdf Supplementary Document Uploaded 2024-03-01 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction ModifiedFY2026 OSHS Cooperative Agreement
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction ModifiedBLS OSHS Quarterly Financial Report
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction ModifiedBLS OSHS Property Listing
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction ModifiedBLS OSHS Financial Reconciliation Worksheet - AAMC Programs
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction ModifiedBLS OSHS Financial Reconciliation Worksheet - Base Programs
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form ModifiedBLS OSHS Transmittal and Certification Form
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction ModifiedBLS OSHS Budget Variance Request Form
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form ModifiedBLS OSHS Budget Information Form
264780 Occupational Safety and Health Statistics Cooperative Agreement Application Package Form Modified
ICR Details
1220-0149 202504-1220-004
Active 202409-1220-003
DOL/BLS
BLS Occupational Safety and Health Statistics Cooperative Agreement Application Package
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/17/2025
Retrieve Notice of Action (NOA) 06/04/2025
No Terms of Clearance with June 2025 non-sub changes.
  Inventory as of this Action Requested Previously Approved
06/30/2027 06/30/2027 06/30/2027
493 0 493
462 0 462
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 1 Name of Law: Design and Duties of the Bureau Generally
   US Code: 29 USC 2 Name of Law: Collection, Collation, and Reports of Labor Statistics
   US Code: 29 USC 669 Name of Law: Occupational Safety and Health Act of 1970
   US Code: 31 USC 6305 Name of Law: Federal Grant and Cooperative Agreement Act of 1977
  
None
Not associated with rulemaking
  88 FR 85657 12/08/2023
89 FR 17880 03/12/2024
No
  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 493 493 0 0 0 0
Annual Time Burden (Hours) 462 462 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$700,000
No
    No
    No
No
No
No
No
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.
06/04/2025