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OMB Approval: Expiration Date: 03/31/2016333111/30/2011 U.S. Department of LaborPlease read and review the filing instructions carefully before completing the . A copy of the instructions can be found
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One-time occurrence is a unique event or situation that happens only once.
Individuals or organizations who experience a specific event or situation that falls under the criteria of a one-time occurrence are required to file.
To fill out a one-time occurrence report, you need to provide details of the event or situation, including date, time, location, and any relevant information.
The purpose of one-time occurrence reporting is to document and track significant incidents or events that are not part of regular operations.
Information such as the nature of the event, impact, and any actions taken in response must be reported on a one-time occurrence.
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