Occupational Safety and Health Statistics Cooperative Agreement Application Package

BLS Occupational Safety and Health Statistics Cooperative Agreement Application Package

Documents and Forms

Document Name Document Type
Form BLS OSHS BIF Occupational Safety and Health Statistics Cooperative Agreement Application Package Form
BLS OSHS BIF BLS OSHS Budget Information Form 2026 OSHS BIF.pdf Form
BLS OSHS BV BLS OSHS Budget Variance Request Form 2026 OSHS Budget Variance Form.pdf Form and Instruction
BLS OSHS TCF BLS OSHS Transmittal and Certification Form 2026 OSHS TCF.pdf Form
BLS OSHS FRW-A BLS OSHS Financial Reconciliation Worksheet - Base Progr 2026 OSHS FRW-A.pdf Form and Instruction
BLS OSHS FRW-B AAM BLS OSHS Financial Reconciliation Worksheet - AAMC Progr 2026 OSHS FRW-B.pdf Form and Instruction
BLS OSHS Property BLS OSHS Property Listing 2026 OSHS Property Listing.pdf Form and Instruction
BLS OSHS 2 BLS OSHS Quarterly Financial Report 2026 OSHS2.pdf Form and Instruction
FY2025 OSHS CA FY2025 OSHS Cooperative Agreement FY 2026 OSHS CA.docx Form and Instruction
FY 2026 OSHS Memo to States 4.24.2025.docx FY2026 Memo to the States IC Document

Information Collection (IC) Details

IC Title:	Occupational Safety and Health Statistics Cooperative Agreement Application Package	Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BLS OSHS BIF	BLS OSHS Budget Information Form	2026 OSHS BIF.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS BV	BLS OSHS Budget Variance Request Form	2026 OSHS Budget Variance Form.pdf	Yes	Yes	Fillable Fileable Signable
Form	BLS OSHS TCF	BLS OSHS Transmittal and Certification Form	2026 OSHS TCF.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	BLS OSHS FRW-A	BLS OSHS Financial Reconciliation Worksheet - Base Programs	2026 OSHS FRW-A.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS FRW-B AAMC	BLS OSHS Financial Reconciliation Worksheet - AAMC Programs	2026 OSHS FRW-B.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS Property Listing	BLS OSHS Property Listing	2026 OSHS Property Listing.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	BLS OSHS 2	BLS OSHS Quarterly Financial Report	2026 OSHS2.pdf	Yes	Yes	Fillable Fileable Signable
Form and Instruction	FY2025 OSHS CA	FY2025 OSHS Cooperative Agreement	FY 2026 OSHS CA.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FY2026 Memo to the States	FY 2026 OSHS Memo to States 4.24.2025.docx	04/24/2025

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