Injury Tracking Application (ITA) 3.0 Beta Testing

Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:

Documents and Forms

Document Name Document Type
Injury Tracking Application (ITA) 3.0 Beta Testing Form and Instruction
BETA Test Feedback Form ITA 3.0 BETA Test Feedback Form ITA 3.0 08172023 FINAL_OCIO.docx ddp-preview.osha.gov/injuryreporting/ita Form and Instruction
Beta test invitation Beta test invitation 8.172023 FINAL_OCIO.docx ddp-preview.osha.gov/injuryreporting/ita Form and Instruction
BETA Test Feedback Form ITA 3.0 BETA Test Feedback Form ITA 3.0 08172023 FINAL_OCIO.docx ddp-preview.osha.gov/injuryreporting/ita Form and Instruction
Beta test invitation Beta test invitation 8.172023 FINAL_OCIO.docx ddp-preview.osha.gov/injuryreporting/ita Form and Instruction
1225-0088 Generic Clearance Template for Beta Testing 8-172023 OCIO_final clean.docx Injury Tracking Application (ITA) 3.0 Beta Testing IC Document
1225-0088 Generic Clearance Template for Beta Testing 8-172023 OCIO_final clean.docx Injury Tracking Application (ITA) 3.0 Beta Testing IC Document

Information Collection (IC) Details

IC Title:	Injury Tracking Application (ITA) 3.0 Beta Testing	Agency IC Tracking Number:

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	BETA Test Feedback Form ITA 3.0	BETA Test Feedback Form ITA 3.0 08172023 FINAL_OCIO.docx	https://ddp-preview.osha.gov/injuryreporting/ita	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Beta test invitation	Beta test invitation 8.172023 FINAL_OCIO.docx	https://ddp-preview.osha.gov/injuryreporting/ita	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-90	90
Annual IC Time Burden (Hours)	-105	105
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Injury Tracking Application (ITA) 3.0 Beta Testing	1225-0088 Generic Clearance Template for Beta Testing 8-172023 OCIO_final clean.docx	08/18/2023

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