SAFETY DEFECT RECORD OF SELF-PROPELLED EQUIPMENT (55/56/57.9-1)

ICR 198308-1219-008

OMB: 1219-0089

Federal Form Document

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ICR Details
1219-0089 198308-1219-008
Historical Active 198305-1219-004
DOL/MSHA
SAFETY DEFECT RECORD OF SELF-PROPELLED EQUIPMENT (55/56/57.9-1)
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/29/1983
Approved with change 08/29/1983
Retrieve Notice of Action (NOA) 08/29/1983
  Inventory as of this Action Requested Previously Approved
09/30/1984 09/30/1984 09/30/1984
13,900,000 0 14,900,000
2,548,334 0 2,731,666
0 0 0

REQUIRES OPERATOR BEFORE PLACING SELF-PROPELLED EQUIPMENT INTO OPERATION TO MAKE A VISUAL AND OPERATIONAL CHECK OF VARIOUS PRIMARY OPERATING SYSTEMS AFFECTING SAFETY, I.E., BRAKES, LIGHTS, TIRES, STEERING, AND RELATED ITEMS. ANY SAFETY DEFECTS FOUND ARE REPORTED TO THE RESPONSIBLE SUPERVISOR WHO IS REQUIRED TO MAKE A RECORD OF THE REPORTED DEFECTS AND SCHEDULE REPAIRS OF SAME.

None
None


No

1
IC Title Form No. Form Name
SAFETY DEFECT RECORD OF SELF-PROPELLED EQUIPMENT (55/56/57.9-1) MSHA-422R

  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 13,900,000 14,900,000 0 -1,000,000 0 0
Annual Time Burden (Hours) 2,548,334 2,731,666 0 -183,332 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
08/29/1983


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