Survey of Occupational Injuries and Illnesses - Private Sector

Survey of Occupational Injuries and Illnesses

OMB: 1220-0045

IC ID: 38596

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0045 can be found here:

Documents and Forms

Document Name Document Type
Form IDCF Survey of Occupational Injuries and Illnesses - Private Sector Form and Instruction
9300 IDCF - 2019 .docx Instruction
Item 000 - 2020 SOII instructions sheet - nonDJTRITA.docx Instruction
BLS 9300 Survey Of Occupational Injuries and Illnesses SOII_SY2020_Long_Form OMB.docx Form and Instruction
BLS 9300 FAX Fax Form 2020 Example AK_2020.docx Form and Instruction
BLS 9300 N06 SOII Data Collection Booklet - Spanish Version Item 1 - 2019 SOII Spanish Data Collection Book OMB revision.docx Form and Instruction
IDCF Screenshots SOII IDCF screenshots 2019 (002).docx Form and Instruction
BLS 9300 FAX SOII FAX form Fax_form_English_2020 generic.docx Form and Instruction
BLS 9300 FAX SOII FAX form Spanish Fax form.pdf Form and Instruction
IDCF IDCF UPdates for OSHA ITA SOII IDCF Screenshots Update.pdf Form and Instruction
Item 17 - Non-Response letter 1_2019.docx Non-response Letter 1 IC Document
Item 18 - Non-Response letter 2_2020.docx Non-response Letter 2 IC Document
SOII Informed Consent Letter.pdf SOII Informed Consent Letter IC Document
Item 23 - Mandatory Pre-Notification_2020.docx Mandatory Pre-Note 2020 IC Document
Item 16 - 2019 Internet pamphlet.docx 2019 Internet Pamphlet IC Document
Item 5 - 2020 Prenote Leaflet.docx 2020 Pre-Note Leaflet IC Document
Item 5 - 2020 SOII instructions sheet - Mand_prenote.docx 2020 SOII Instruction sheet - mandatory prenote IC Document
Data_collection_password_email.docx Data collection password email IC Document
Mandatory_Prenote_email_message.docx Mandatory Prenote email IC Document
Data_Collection_email_message.docx Data Collection email IC Document
Georgia Sample Reduction Letter 2020.docx GA opt out letter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey of Occupational Injuries and Illnesses - Private Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BLS 9300	Survey Of Occupational Injuries and Illnesses	SOII_SY2020_Long_Form OMB.docx	Yes	Yes	Fillable Printable
Instruction			9300 IDCF - 2019 .docx	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX	Fax Form 2020 Example	AK_2020.docx	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 N06	SOII Data Collection Booklet - Spanish Version	Item 1 - 2019 SOII Spanish Data Collection Book OMB revision.docx	Yes	Yes	Fillable Printable
Instruction			Item 000 - 2020 SOII instructions sheet - nonDJTRITA.docx	Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	Screenshots	SOII IDCF screenshots 2019 (002).docx	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX	SOII FAX form	Fax_form_English_2020 generic.docx	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX	SOII FAX form	Spanish Fax form.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	IDCF UPdates for OSHA ITA	SOII IDCF Screenshots Update.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 207,696	Number of Respondents for Small Entity: 104,849

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	207,696	-4,104	211,800
Annual IC Time Burden (Hours)	170,303	-2,897	173,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Non-response Letter 1	Item 17 - Non-Response letter 1_2019.docx	08/21/2019
Non-response Letter 2	Item 18 - Non-Response letter 2_2020.docx	08/06/2020
SOII Informed Consent Letter	SOII Informed Consent Letter.pdf	08/21/2019
Mandatory Pre-Note 2020	Item 23 - Mandatory Pre-Notification_2020.docx	08/21/2019
2019 Internet Pamphlet	Item 16 - 2019 Internet pamphlet.docx	08/21/2019
2020 Pre-Note Leaflet	Item 5 - 2020 Prenote Leaflet.docx	08/21/2019
2020 SOII Instruction sheet - mandatory prenote	Item 5 - 2020 SOII instructions sheet - Mand_prenote.docx	08/21/2019
Data collection password email	Data_collection_password_email.docx	08/21/2019
Mandatory Prenote email	Mandatory_Prenote_email_message.docx	08/21/2019
Data Collection email	Data_Collection_email_message.docx	08/21/2019
GA opt out letter	Georgia Sample Reduction Letter 2020.docx	10/28/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.