Census of Fatal Occupational Injuries

Forms and Documents

Document Name	Status
Form CFOI 1 Census of Fatal Occupational Injuries - State, local, and tribal government Form	Modified
Form CFOI-1 Census of Fatal Occupational Injuries - Private Sector Form	Modified
Form CFOI 1 Census of Fatal Occupational Injuries - Individuals Form	Modified
Form CFOI 1 Census of Fatal Occupational Injuries - Federal Government Form and Instruction	Modified
2025_CFOI_Supporting_Statement_PartA _Final.docx Supporting Statement A	2025-08-14
2025_CFOI_Supporting_Statement_PartB_Final.docx Supporting Statement B	2025-07-30
2025_CFOI_Attachment1B_Research_File_Data_Elements.docx Supplementary Document	2025-04-29
2025_CFOI_Attachment1A_Data_Elements.docx Supplementary Document	2025-04-29
Public_Law_91-596.doc Supplementary Document	2019-06-26

IC Document Collections

IC ID	Document Title	Status
182258	Census of Fatal Occupational Injuries - State, local, and tribal government Form	Modified
182257	Census of Fatal Occupational Injuries - Private Sector Form	Modified
182256	Census of Fatal Occupational Injuries - Individuals Form	Modified
14631	Census of Fatal Occupational Injuries - Federal Government Form and Instruction	Modified

ICR Details

OMB Control No: 1220-0133	ICR Reference No: 202503-1220-004
Status: Received in OIRA	Previous ICR Reference No: 202502-1220-002
Agency/Subagency: DOL/BLS	Agency Tracking No:
Title: Census of Fatal Occupational Injuries
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/16/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2025
Responses	16,072	15,810
Time Burden (Hours)	2,782	2,760
Cost Burden (Dollars)	0	0

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Abstract: The Census of Fatal Occupational Injuries provides policymakers and the public with comprehensive, verifiable, and timely measures of fatal work injuries. Data are compiled from various sources including Federal, State, and local governments, the private sector and individuals and include information on how the incident occurred as well as various characteristics of the employers and the deceased worker. This information is used for surveillance of fatal work injuries and for developing prevention strategies.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 24 Name of Law: Occupational Safety and Health Act of 1970
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 15367	04/10/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 44717	09/16/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Census of Fatal Occupational Injuries - Federal Government	CFOI 1	Census of Fatal Occupational Injuries Report
Census of Fatal Occupational Injuries - Individuals	CFOI 1	Census of Fatal Occupational Injuries Report
Census of Fatal Occupational Injuries - Private Sector	CFOI-1	Census of Fatal Occupational Injuries Report
Census of Fatal Occupational Injuries - State, local, and tribal government	CFOI 1, Attachment 2C	Census of Fatal Occupational Injuries Report ,   FAX requesting death certificates

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ICR Summary of Burden

	Total Request	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	16,072	15,810	0	262	0	0
Annual Time Burden (Hours)	2,782	2,760	0	22	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: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The overall increase in burden hours from 2,760 to 2,782 reflects an overall increase in the number of fatal occupational injuries during this period, which resulted in more follow-back questionnaires received.

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Annual Cost to Federal Government: $5,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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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: 09/16/2025

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