Census of Fatal Occupational Injuries

Forms and Documents

Document Name	Status
Form BLS CFOI-1 Census of Fatal Occupational Injuries - State, local, and tribal government Form and Instruction	Modified
Form BLS CFOI-1 Census of Fatal Occupational Injuries - Private Sector Form and Instruction	Modified
Form BLS CFOI-1 Census of Fatal Occupational Injuries - Individuals Form and Instruction	Modified
Form BLS CFOI-1 Census of Fatal Occupational Injuries - Federal Government Form and Instruction	Modified
SecretarysOrder5-2007.pdf Supplementary Document	2013-09-10
Public_Law_91-596.doc Supplementary Document	2013-09-10
CFOI OMB 070913 - Attachments 2013.doc Supplementary Document	2013-09-10
Supporting State Part A (1220-0133).doc Supporting Statement A	2013-09-10
Supporting Statement Part B 1220-0133.docx Supporting Statement B	2013-07-17

IC Document Collections

IC ID	Document Title	Status
182258	Census of Fatal Occupational Injuries - State, local, and tribal government Form and Instruction	Modified
182257	Census of Fatal Occupational Injuries - Private Sector Form and Instruction	Modified
182256	Census of Fatal Occupational Injuries - Individuals Form and Instruction	Modified
14631	Census of Fatal Occupational Injuries - Federal Government Form and Instruction	Modified

ICR Details

OMB Control No: 1220-0133	ICR Reference No: 201307-1220-004
Status: Historical Active	Previous ICR Reference No: 201010-1220-003
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Census of Fatal Occupational Injuries
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/19/2013
	Date Received in OIRA: 11/06/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	03/31/2014
Responses	18,748	0	26,797
Time Burden (Hours)	3,469	0	4,073
Cost Burden (Dollars)	0	0	0

---

Abstract: The Census of Fatal Occupational Injuries provides policymakers and the public with comprehensive, verifiable, and timely measures of fatal work injuries. Data are complied from various Federal, State, and local sources and include information on how the incident occurred as well as various characteristics of the employers and the deceased worker. This information is used for surveillance of fatal work injuries and for developing prevention strategies.

---

Authorizing Statute(s): PL: Pub.L. 91 - 596 24 Name of Law: Occupational Safety and Health Act of 1970
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 41958	07/12/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 66768	11/06/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Census of Fatal Occupational Injuries - Private Sector	BLS CFOI-1	Census of Fatal Occupational Injuries Report
Census of Fatal Occupational Injuries - Federal Government	BLS CFOI-1	Census of Fatal Occupational Injuries Report
Census of Fatal Occupational Injuries - State, local, and tribal government	BLS CFOI-1	Census of Fatal Occupational Injuries Report
Census of Fatal Occupational Injuries - Individuals	BLS CFOI-1	Census of Fatal Occupational Injuries Report

---

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	18,748	26,797	0	0	-8,049	0
Annual Time Burden (Hours)	3,469	4,073	0	0	-604	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 decrease in the annual number of responses is due in part to the use of revised methodology for counting Federal source document responses. To better reflect the Federal agency burden, the number of data files submitted by a Federal agency is used for the number of responses rather than the total number of fatality reports as was done in previous estimates. These calculations are based on the maximum value over the five-year period from 2007-2011 to account for any additional increase in future years. The overall decrease in the burden hour estimate reflects an overall decrease in the number of fatal occupational injuries during this period, which resulted in fewer source documents and followback questionnaires received.

---

Annual Cost to Federal Government: $4,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 11/06/2013

---