Noise Data Report Form (30 Cfr 70.506, 70.508, 70.509, 71.803 And 71.804)

NOISE DATA REPORT FORM (30 CFR 70.506, 70.508, 70.509, 71.803 AND 71.804)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0037 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	NOISE DATA REPORT FORM (30 CFR 70.506, 70.508, 70.509, 71.803 AND 71.804)	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-214				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,419	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 Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	243,500	5,067	63,433	175,000
Annual IC Time Burden (Hours)	78,168	4,863	60,875	12,430
Annual IC Cost Burden (Dollars)	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.