BLS/OSHS Federal/State Cooperative Agreement (Application Package)

Forms and Documents

Document Name	Status
Form OSHS 2009 Work Sta OSHS 2009 Work Statements Form and Instruction	New
admins0605_FY07_CA.pdf Supplementary Document	2007-05-14
Note to Reviewer (1220-0149).doc Justification for No Material/Nonsubstantive Change	2007-05-14
Note to Reviewer (1220-0149).doc Supplementary Document	2006-09-20
Supporting Statement (1220-0149).doc Supporting Statement A	2006-09-20

IC Document Collections

IC ID	Document Title	Status
185424	OSHS 2009 Work Statements Form and Instruction	New

ICR Details

OMB Control No: 1220-0149	ICR Reference No: 200806-1220-003
Status: Historical Active	Previous ICR Reference No: 200705-1220-003
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: BLS/OSHS Federal/State Cooperative Agreement (Application Package)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/08/2008
	Date Received in OIRA: 06/26/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2009	11/30/2009	11/30/2009
Responses	280	0	280
Time Burden (Hours)	336	0	336
Cost Burden (Dollars)	0	0	0

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Abstract: 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 OSHS CA application package is representative of the package sent every year to State agencies and is, therefore, considered a "generic" package. The work statements are not the actual work statements that the applicants will see in subsequent fiscal years. Substantive changes to the work statements will be reviewed separately by the OMB annually.

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Authorizing Statute(s): US Code: 29 USC 1 and 2 Name of Law: BLS Authorzing Statute
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 85	05/03/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 136	07/17/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
OSHS 2009 Work Statements	OSHS 2009 Work Statements	OSHS 2009 Work Statements

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ICR Summary of Burden

	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	280	280	0	0	0	0
Annual Time Burden (Hours)	336	336	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The numbers shown in the summary table for the previously approved responses and hours do not match DOL's records which show that the inventory is 280 responses and 336 hours. The responses and hours being requested here are the same, therefore there is no change in burden.

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Annual Cost to Federal Government: $179,208

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/26/2008

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