HAZARDOUS CONDITIONS COMPLAINTS (30 CFR 43)

ICR 198305-1219-036

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
168700 Migrated
ICR Details
1219-0014 198305-1219-036
Historical Active 198111-1219-004
DOL/MSHA
HAZARDOUS CONDITIONS COMPLAINTS (30 CFR 43)
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/27/1983
Approved with change 05/27/1983
Retrieve Notice of Action (NOA) 05/27/1983
  Inventory as of this Action Requested Previously Approved
12/31/1983 12/31/1983 12/31/1983
500 0 500
100 0 100
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 (30 CFR 43) 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 500 500 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 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.
05/27/1983


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