RECORD OF RESULTS OF EXAMINATION OF SELF-RESCUERS

ICR 198111-1219-036

OMB: 1219-0044

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
123154 Migrated
ICR Details
1219-0044 198111-1219-036
Historical Active
DOL/MSHA
RECORD OF RESULTS OF EXAMINATION OF SELF-RESCUERS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/29/1981
Retrieve Notice of Action (NOA) 11/20/1981
  Inventory as of this Action Requested Previously Approved
01/31/1983 01/31/1983
10,404 0 0
4,473 0 0
0 0 0

REQUIRES OPERATORS TO RECORD AND MAKE AVAILABLE RESULTS OF EXAMINATION OF SELF-RESCUERS. THE INFORMATION IS USED TO INSURE THAT THE SELF-RESCUERS ARE IN A SAFE, USABLE CONDITION. AUTHORITY ESTABLISHED BY P.L. 95-164.

None
None


No

1
IC Title Form No. Form Name
RECORD OF RESULTS OF EXAMINATION OF SELF-RESCUERS MSHA-243R

  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 10,404 0 0 0 10,404 0
Annual Time Burden (Hours) 4,473 0 0 0 4,473 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


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