Survey of Occupational Injuries and Illnesses - Private Sector

Survey of Occupational Injuries and Illnesses

OMB: 1220-0045

IC ID: 38596

Documents and Forms

Document Name Document Type
Form BLS-9300 N06 Survey of Occupational Injuries and Illnesses - Private Sector Form and Instruction
2024_Item000_SOII_instructions_sheet_Mandatory.pdf Instruction
2024_Item000_SOII_instructions_sheet_Mandatory.pdf Instruction
2024_Item15_SOII_IDCF_Instructions.pdf Instruction
2024_Item15_SOII_IDCF_Instructions.pdf Instruction
BLS-9300 N06 SOII 2024 Collection Form 2024_SOII_Long_Form.pdf Form and Instruction
BLS-9300 N06 SOII 2024 Collection Form 2024_SOII_Long_Form.pdf Form and Instruction
BLS9300 FAX SOII 2024 FAX 2024_Item24_SOII_fax_form_English_generic_mail.pdf Form and Instruction
BLS9300 FAX SOII 2024 FAX 2024_Item24_SOII_fax_form_English_generic_mail.pdf Form and Instruction
BLS 9300 FAX SOII FAX form Spanish 2024_Item25_SOII_fax_form_Spanish.pdf Form and Instruction
BLS 9300 FAX SOII FAX form Spanish 2024_Item25_SOII_fax_form_Spanish.pdf Form and Instruction
BLS 9300 SOII Collection Form Spanish 2024_Item1_SOII_Spanish_data_collection.pdf Form and Instruction
BLS 9300 SOII Collection Form Spanish 2024_Item1_SOII_Spanish_data_collection.pdf Form and Instruction
IDCF IDCF Collection Screenshots 2024_omb_screenshots.pdf Form and Instruction
IDCF IDCF Collection Screenshots 2024_omb_screenshots.pdf Form and Instruction
BLS-9300-FAX SOII 2024 FAX Form - Example Alabama 2024_SOII_Fax_form.pdf Form and Instruction
BLS-9300-FAX SOII 2024 FAX Form - Example Alabama 2024_SOII_Fax_form.pdf Form and Instruction
SOII_informed_consent_letter.docx Soii_informed_consent_letter IC Document
SOII_informed_consent_letter.docx Soii_informed_consent_letter IC Document
2025_Mandatory_SOII_Prenote.pdf 2025 Mandatory Prenote Email IC Document
2025_Mandatory_SOII_Prenote.pdf 2025 Mandatory Prenote Email IC Document
2024_Mandatory_SOII_collection.pdf 2024 Data Collection email IC Document
2024_Mandatory_SOII_collection.pdf 2024 Data Collection email IC Document
2024_Item17_SOII_NR1_letter.pdf Item 17 Nonresponse letter 1 IC Document
2024_Item17_SOII_NR1_letter_rev.pdf Item 17 Nonresponse letter 1 IC Document
2024_Item18_SOII_NR2_letter.pdf Item 18 Nonresponse letter 2 IC Document
2024_Item18_SOII_NR2_letter_rev.pdf Item 18 Nonresponse letter 2 IC Document
2025_Item23_SOII_mandatory_prenote_letter.pdf Item 23 2025 mandatory prenote letter IC Document
2025_Item23_SOII_mandatory_prenote_letter_rev.pdf Item 23 2025 mandatory prenote letter IC Document
2024_Item16_SOII_Internet_pamphlet.pdf 2024 Internet Pamphlet IC Document
2024_Item16_SOII_Internet_pamphlet.pdf 2024 Internet Pamphlet IC Document
2025_Item5_SOII_Prenote_leaflet.pdf 2025 prenote leaflet IC Document
2025_Item5_SOII_Prenote_leaflet.pdf 2025 prenote leaflet IC Document
2024_Mandatory_SOII_collection_Password_Notice.pdf Data Collection Password Notice IC Document
2024_Mandatory_SOII_collection_Password_Notice.pdf Data Collection Password Notice IC Document
2025_Mandatory_SOII_Prenote_Password_Notice.pdf 2025 Prenote password notice email IC Document
2025_Mandatory_SOII_Prenote_Password_Notice.pdf 2025 Prenote password notice email IC Document
2024_Voluntary_SOII_collection_1stNonresponse.pdf 2024 mandatory 1st nonresponse email IC Document
2024_Voluntary_SOII_collection_1stNonresponse.pdf 2024 mandatory 1st nonresponse email IC Document
2024_Mandatory_SOII_collection_2ndNonresponse.pdf 2024 nandatiry 2nd nonresponse email IC Document
2024_Mandatory_SOII_collection_2ndNonresponse.pdf 2024 nandatiry 2nd nonresponse email IC Document
2024_Voluntary_SOII_collection_3rdNonresponse.pdf 2024 mandatory 3rd nonresponse email IC Document
2024_Voluntary_SOII_collection_3rdNonresponse.pdf 2024 mandatory 3rd nonresponse email IC Document
SOII_precollection_letter_test.docx SOII Pecollection test letter IC Document
SOII_precollection_letter_test.docx SOII Pecollection test letter IC Document
SOII_Indian_Tribal_Letter.pdf Indian Tribal Letter IC Document
SOII_Indian_Tribal_Letter_rev.pdf Indian Tribal Letter IC Document
SOII_precollection_letter_test.docx SOII Precollection Letter - Test IC Document
SOII_precollection_letter_test.docx SOII Precollection Letter - Test 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 N06	SOII 2024 Collection Form	2024_SOII_Long_Form.pdf	Yes	Yes	Fillable Printable
Instruction			2024_Item000_SOII_instructions_sheet_Mandatory.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS9300 FAX	SOII 2024 FAX	2024_Item24_SOII_fax_form_English_generic_mail.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300 FAX	SOII FAX form Spanish	2024_Item25_SOII_fax_form_Spanish.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS 9300	SOII Collection Form Spanish	2024_Item1_SOII_Spanish_data_collection.pdf	Yes	Yes	Fillable Printable
Instruction			2024_Item15_SOII_IDCF_Instructions.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	IDCF	IDCF Collection Screenshots	2024_omb_screenshots.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS-9300-FAX	SOII 2024 FAX Form - Example Alabama	2024_SOII_Fax_form.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: 207,300	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: 90 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	207,300	-4,500	211,800
Annual IC Time Burden (Hours)	190,963	20,930	170,033
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Soii_informed_consent_letter	SOII_informed_consent_letter.docx	05/13/2024
2025 Mandatory Prenote Email	2025_Mandatory_SOII_Prenote.pdf	05/13/2024
2024 Data Collection email	2024_Mandatory_SOII_collection.pdf	05/13/2024
Item 17 Nonresponse letter 1	2024_Item17_SOII_NR1_letter_rev.pdf	08/16/2024
Item 18 Nonresponse letter 2	2024_Item18_SOII_NR2_letter_rev.pdf	08/16/2024
Item 23 2025 mandatory prenote letter	2025_Item23_SOII_mandatory_prenote_letter_rev.pdf	08/16/2024
2024 Internet Pamphlet	2024_Item16_SOII_Internet_pamphlet.pdf	05/13/2024
2025 prenote leaflet	2025_Item5_SOII_Prenote_leaflet.pdf	05/13/2024
Data Collection Password Notice	2024_Mandatory_SOII_collection_Password_Notice.pdf	05/13/2024
2025 Prenote password notice email	2025_Mandatory_SOII_Prenote_Password_Notice.pdf	05/13/2024
2024 mandatory 1st nonresponse email	2024_Voluntary_SOII_collection_1stNonresponse.pdf	05/13/2024
2024 nandatiry 2nd nonresponse email	2024_Mandatory_SOII_collection_2ndNonresponse.pdf	05/13/2024
2024 mandatory 3rd nonresponse email	2024_Voluntary_SOII_collection_3rdNonresponse.pdf	05/13/2024
SOII Pecollection test letter	SOII_precollection_letter_test.docx	05/13/2024
Indian Tribal Letter	SOII_Indian_Tribal_Letter_rev.pdf	08/16/2024
SOII Precollection Letter - Test	SOII_precollection_letter_test.docx	06/17/2024

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