OMB control number

BLS Occupational Safety and Health Statistics Cooperative Agreement Application Package

OMB 1220-0149 · DOL/BLS.

OMB 1220-0149

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.

The latest form for BLS Occupational Safety and Health Statistics Cooperative Agreement Application Package expires 2027-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FY 2027 CA OSHS FY27 Cooperative Agreement Form and Instruction
Form OSHS2 BLS-OSHS Quarterly Financial Report Form
Form BLS OSHS Property BLS OSHS Property Listing Form and Instruction
Form BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Programs Form and Instruction
Form BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Programs Form and Instruction
Form BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Programs Form and Instruction
Form BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Programs Form and Instruction
Form BLS OSHS TCF BLS OSHS Transmittal and Certification Form Form
Form BLS OSHS TCF BLS OSHS Transmittal and Certification Form Form
Form BLS OSHS BV BLS OSHS Budget Variance Request Form Form and Instruction
Form BLS OSHS BIF BLS OSHS Budget Information Form Form
Note to Reviewer - OSHS CA FY2027 .docx Justification for No Material/Nonsubstantive Change
Note to Reviewer - OSHS CA FY2027 .docx Justification for No Material/Nonsubstantive Change
OSHS Cooperative Agreement Supporting Statement.docx Supporting Statement A
OSHS Cooperative Agreement Supporting Statement.docx Supporting Statement A
31 U.S. Code § 6305 - Using cooperative agreements.pdf Supplementary Document
29 U.S. Code § 669 - Research and related activities.pdf Supplementary Document
29 U.S. Code § 2.pdf Supplementary Document
29 U.S. Code § 1.pdf Supplementary Document
FR1 1220-0149 (12-8-2023).pdf Supplementary Document
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form and Instruction
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form
Occupational Safety and Health Statistics Cooperative Agreement Application Package Form

All Historical Document Collections

202604-1220-002	No material or nonsubstantive change to a currently approved collection	2026-04-17
202504-1220-004	No material or nonsubstantive change to a currently approved collection	2025-06-04
202409-1220-003	No material or nonsubstantive change to a currently approved collection	2024-09-09
202401-1220-007 Approved without change	Extension without change of a currently approved collection	2024-03-12
202304-1220-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2023-04-26
202303-1220-002 Approved without change	Revision of a currently approved collection	2023-03-21
202207-1220-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-07-20
202204-1220-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-04-18
202102-1220-001 Approved with change	Extension without change of a currently approved collection	2021-04-16
202004-1220-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-04-14
201904-1220-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-04-16
201803-1220-001 Approved without change	Revision of a currently approved collection	2018-04-27
201706-1220-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-06-13
201604-1220-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-04-21
201502-1220-007 Approved without change	Revision of a currently approved collection	2015-04-03
201502-1220-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-02-05
201404-1220-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-04-22
201304-1220-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-05-03
201201-1220-002 Approved without change	Revision of a currently approved collection	2012-04-18
201104-1220-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-04-14
201004-1220-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-04-27
200904-1220-006 Approved without change	Extension without change of a currently approved collection	2009-06-03
200806-1220-003 Approved with change	No material or nonsubstantive change to a currently approved collection	2008-06-26
200705-1220-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-05-14
200609-1220-001 Approved without change	Reinstatement without change of a previously approved collection	2006-09-22
200607-1220-001 Withdrawn	Extension without change of a currently approved collection	2006-07-11
200309-1220-001 Approved without change	Revision of a currently approved collection	2003-09-12
200112-1220-003 Approved without change	Revision of a currently approved collection	2001-12-19
199809-1220-002 Approved without change	Revision of a currently approved collection	1998-09-30
199511-1220-001 Approved without change	Extension without change of a currently approved collection	1995-11-24
199209-1220-004 Approved without change	New collection (Request for a new OMB Control Number)	1992-09-10