RECORD OF RESULTS OF EXAMINATIONS OF SELF-RESCUERS (30 CFR 75.1714-3)

ICR 198305-1219-001

OMB: 1219-0044

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1219-0044 198305-1219-001
Historical Active 198111-1219-036
DOL/MSHA
RECORD OF RESULTS OF EXAMINATIONS OF SELF-RESCUERS (30 CFR 75.1714-3)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 05/11/1983
Retrieve Notice of Action (NOA) 05/04/1983
  Inventory as of this Action Requested Previously Approved
05/31/1986 05/31/1986
10,404 0 0
11,028 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 EXAMINATIONS OF SELF-RESCUERS (30 CFR 75.1714-3) 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 10,404 0 0
Annual Time Burden (Hours) 11,028 0 0 11,028 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
05/04/1983


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