OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Reporting Occupational Injuries and Illnesses

IC 212582 under ICR 202509-1218-002 · OMB 1218-0176.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Reporting Occupational Injuries and Illnesses 1218-0176(2025)
 
No Unchanged
 
Mandatory
 
29 CFR 1904.39

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction OSHA 6-40.1 Serious Event Reporting Online Form Serious Event Reporting Online Form _ Occupational Safety and Health Administration (downloaded 01.18.19).pdf https://www.osha.gov/pls/ser/serform.html Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

20,000 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 10,000 0 0 0 0 10,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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