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OSHA Data Initiative (State,Local or Tribal Gov't)
OSHA Data Initiative (ODI)
OMB: 1218-0209
IC ID: 45389
OMB.report
DOL/OSHA
OMB 1218-0209
ICR 200906-1218-001
IC 45389
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0209 can be found here:
2013-04-25 - Revision of a currently approved collection
2010-01-08 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form OSHA Form 196A
OSHA Data Initiative (State,Local or Tribal Gov't)
Form and Instruction
OSHA Form 196A OSHA Work-Related Injury and Illness Data Collections Fo
OSHA Form 196A.pdf
Form and Instruction
OSHA Form196B OSHA Work-Related Injury and Illness Data Collections Fo
OSHA Form 196B.pdf
www.osha.gov/form196/cy05.htm
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OSHA Data Initiative (State,Local or Tribal Gov't)
Agency IC Tracking Number:
1218-0209(2006)
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 1904
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
OSHA Form 196A
OSHA Work-Related Injury and Illness Data Collections Form, 2005
OSHA Form 196A.pdf
No
Paper Only
Form and Instruction
OSHA Form196B
OSHA Work-Related Injury and Illness Data Collections Form, 2005
OSHA Form 196B.pdf
http://www.osha.gov/form196/cy05.htm
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
200
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
18 %
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
200
0
0
0
0
200
Annual IC Time Burden (Hours)
33
0
0
0
0
33
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.