HAZARDOUS CONDITIONS COMPLAINTS

ICR 198111-1219-004

OMB: 1219-0014

Federal Form Document

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
123010 Migrated
ICR Details
1219-0014 198111-1219-004
Historical Active
DOL/MSHA
HAZARDOUS CONDITIONS COMPLAINTS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/28/1981
Retrieve Notice of Action (NOA) 11/20/1981
  Inventory as of this Action Requested Previously Approved
12/31/1983 12/31/1983
500 0 0
100 0 0
0 0 0

COMPLAINTS ABOUT HAZARDOUS CONDITIONS MUST BE MADE IN WRITING TO THE SECRETARY OR AN AUTHORIZED REPRESENTATIVE. AUTHORITY ESTABLISHED BY P.L. 95-164.

None
None


No

1
IC Title Form No. Form Name
HAZARDOUS CONDITIONS COMPLAINTS MSHA-707

  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 500 0 0 0 500 0
Annual Time Burden (Hours) 100 0 0 0 100 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/20/1981


© 2024 OMB.report | Privacy Policy