CENSUS OF FATAL OCCUPATIONAL INJURIES, 1991

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
123853	CENSUS OF FATAL OCCUPATIONAL INJURIES, 1991 Form	Migrated

ICR Details

OMB Control No: 1220-0133	ICR Reference No: 199012-1220-002
Status: Historical Active	Previous ICR Reference No: 199002-1220-001
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: CENSUS OF FATAL OCCUPATIONAL INJURIES, 1991
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: 02/15/1991
	Date Received in OIRA: 12/07/1990
Terms of Clearance: Approved through December 1992 as revised on February 13, 1991 to dele questions IV. 4 (establishment and auxiliary functions) and 5 and 6 (English ability), to provide BLS and other interested agencies time t evaluate the usefulness of the data collected and to identify modifications needed in preparation for further extension of OMB approval. Approval shall be subject to the condition that BLS will: 1) develop a program for improving the validity, usefulness, and efficiency of the CFOI through laboratory tests and surveys, and pilot collections of new or revised optional questions in a small number of states, 2) provide the OMB Desk Officer with brief quarterly reports o the implementation of CFOI, 3) organize, in consultation with OSHA and NIOSH, CDC, the Office of Vital Statistics, and OMB, a conference or seminar during the first half of 1992 to discuss questions relating to initial survey operations and analysis of data, 4) obtain OMB review a approval prior to initiating modifications of survey methodology or content, and 5) provide as part of the request for extension of this clearance, a report of CFOI operations through August 1992, including preliminary analyses of findings. BLS should consult with the OMB Desk Officer concerning the appropriate type of submission to be made, i.e., a full submission or an Inventory Correction Worksheet.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1992	12/31/1992	04/30/1991
Responses	2,665	0	1,400
Time Burden (Hours)	3,750	0	2,167
Cost Burden (Dollars)	0	0	0

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Abstract: THE CENSUS OF FATAL OCCUPATIONAL INJURIES WILL PROVIDE POLICYMAKERS AN THE PUBLIC WITH A COMPREHENSIVE, ACCURATE, AND TIMELY MEASURES OF WORK-INJURY FATALITIES. THE SYSTEM WILL COLLECT DEMOGRAPHIC INFORMATI ABOUT THE DECEASED, CHARACTERISTICS OF THE EMPLOYER, AND INFORMATION CONCERNING THE INCIDENT.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
CENSUS OF FATAL OCCUPATIONAL INJURIES, 1991	BLS CFOI

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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	2,665	1,400	0	1,265	0	0
Annual Time Burden (Hours)	3,750	2,167	0	1,583	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 12/07/1990

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