BLS/OSHS Cooperative Agreement (Application Package)

ICR 201404-1220-004

OMB: 1220-0149

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2014-04-22
Justification for No Material/Nonsubstantive Change
2013-04-25
Supporting Statement A
2012-03-13
IC Document Collections
IC ID
Document
Title
Status
201527 Modified
ICR Details
1220-0149 201404-1220-004
Historical Active 201304-1220-002
DOL/BLS
BLS/OSHS Cooperative Agreement (Application Package)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 05/08/2014
Retrieve Notice of Action (NOA) 04/22/2014
  Inventory as of this Action Requested Previously Approved
05/31/2015 05/31/2015 05/31/2015
406 0 406
367 0 367
0 0 0

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 Occupational Safety and Health Statistics Cooperative Agreement application package attached here for approval is representative of the package sent every year to the State agencies and is, therefore, considered a generic package. This package submits the updates for the FY 2015 agreement.

US Code: 29 USC 1 and 2 Name of Law: BLS Authorzing Statute
   US Code: 31 USC 6301-6308 Name of Law: Federal Grant and Cooperative Agreement Act of 1977
   US Code: 29 USC 15 Name of Law: Occupational Safety and Health Act of 1970
  
None

Not associated with rulemaking

  76 FR 71076 11/16/2011
77 FR 23282 04/18/2012
No

1
IC Title Form No. Form Name
OSHS Cooperative Agreement OSHS FRW, BLS OSHS 2, OSHS CA, OSHS TCF, BLS OSHS Property Listing BLS OSHS Quarterly Financial Report ,   2015 OSHS Cooperative Agreement ,   Transmittal and Certification Form ,   BLS OSHS Property Listing ,   OSHS Financial Reconciliatiion Worksheet

  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 406 406 0 0 0 0
Annual Time Burden (Hours) 367 367 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Some States discontinued their Occupational Safety Health and Statistics cooperative statistical programs, decreasing the total respondents to 54, however, the inclusion of the OSHS TCF, OSHS FRW, and OSHS Property Listing increased the total estimated responses and burden hours.

$216,333
No
No
No
No
No
Uncollected
Amy Hobby 2026934553

  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.
04/22/2014


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