Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)

Forms and Documents

Document Name	Status
Form OSHA 300 Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904) Form	Modified
Note To Reviewer - NPRM Explained.doc Supplementary Document	2011-06-22
1218-0176ss20110726.doc Supporting Statement A	2011-07-26
29 CFR Part 1904.pdf Supplementary Document	2008-01-16
29 USC 673 Sec 24.pdf Supplementary Document	2008-01-16
29 USC 657 Sec 8.pdf Supplementary Document	2008-01-15

IC Document Collections

IC ID	Document Title	Status
14117	Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904) Form	Modified

ICR Details

OMB Control No: 1218-0176	ICR Reference No: 201106-1218-001
Status: Historical Inactive	Previous ICR Reference No: 201103-1218-001
Agency/Subagency: DOL/OSHA	Agency Tracking No: 1218-0176(2011-NAICS)
Title: Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 03/29/2012
	Date Received in OIRA: 07/26/2011
Terms of Clearance: Comment filed.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2014	36 Months From Approved	07/31/2014
Responses	6,782,248	0	6,782,248
Time Burden (Hours)	2,967,237	0	2,967,237
Cost Burden (Dollars)	0	0	0

---

Abstract: The OSH Act and 29 CFR Part 1904 prescribe that certain employers maintain records of job related injuries and illnesses. The data are needed by OSHA to carry out intervention and enforcement activities to guarantee workers safe and healthful workplaces. The data are also needed by BLS to produce national statistics on occupational injuries and illnesses.

---

Authorizing Statute(s): US Code: 29 USC 657 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 673 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1218-AC50	Proposed rulemaking	76 FR 36414	06/22/2011

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Recordkeeping and Reporting Occupational Injuries and Illnesses (29 CFR Part 1904)	OSHA 300A, OSHA-300A (Spreadsheet Version), OSHA Form 301, OSHA 300	Log of Work Related Injuries and Illnesses ,   Injury and Illness Incident Report ,   Summary of Work-Related Injuries and Ilnesses ,   Summary of Work-Related Injuries and Illnesses

---

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: There is a program change increase in burden hours from 2,967,237 to 3,355,105 (a total increase of 387,868 hours) during the initial year of implementation. The increase in burden results from the industry coverage changes and hospitalization reporting requirements contained in the Notice of Proposed Rulemaking. The burden associated with training personnel at the newly covered establishments will only occur during the initial year. The increased burden in the outlying years will be 188,868.

---

Annual Cost to Federal Government: $127,058

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 07/26/2011

---