SUPPLEMENTARY DATA SYSTEM

ICR 198801-1220-003

OMB: 1220-0083

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
123756
Migrated
ICR Details
1220-0083 198801-1220-003
Historical Active 198610-1220-003
DOL/BLS
SUPPLEMENTARY DATA SYSTEM
Revision of a currently approved collection   No
Regular
Approved without change 04/08/1988
Retrieve Notice of Action (NOA) 01/21/1988
Approved through April 1990 with the understanding that BLS will add an explanatory note to the tables showing the proportion of different kinds of accidents. The note will explain that changes in the proportion of accidents due to a specific clause may result from changes in the frequency of other categories and not from a change in frequency of the specific kind of accident.
  Inventory as of this Action Requested Previously Approved
04/30/1990 04/30/1990 04/30/1988
21 0 21
113,560 0 164,760
0 0 0

PROVIDES DETAILED INFORMATION ON CHARACTERISTI OF OCCUPATIONAL INJURIES AND ILLNESSES AND THE ACCIDENTS OR EXPOSURES WHICH PRODUCED THEM. NEEDED BY THE U.S. OCCUPATIONAL SAFETY AND THE HEALTH ADMINISTRATION IN PROGRAM DIRECTION, COMPLIANCE, AND STANDARDS SETTING. THIRTY STATES VOLUNTARILY PROVIDE INFORMATION FROM STATE WORKERS' COMPENSATION RECORDS.

None
None


No

1
IC Title Form No. Form Name
SUPPLEMENTARY DATA SYSTEM

  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 21 21 0 0 0 0
Annual Time Burden (Hours) 113,560 164,760 0 0 -51,200 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
01/21/1988


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