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Certification/qualification Program
CERTIFICATION/QUALIFICATION PROGRAM
OMB: 1219-0069
IC ID: 123267
OMB.report
DOL/MSHA
OMB 1219-0069
ICR 198112-1219-021
IC 123267
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0069 can be found here:
2003-10-02 - No material or nonsubstantive change to a currently approved collection
2003-05-12 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CERTIFICATION/QUALIFICATION PROGRAM
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
MSHA 5000-4
No
No
Form
5000-7
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
6,400
0
0
6,400
0
0
Annual IC Time Burden (Hours)
1,000
0
0
1,000
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.