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Record Of Results Of Examinations Of Self-rescuers (30 Cfr 75.1714-3)
RECORD OF RESULTS OF EXAMINATIONS OF SELF-RESCUERS (30 CFR 75.1714-3)
OMB: 1219-0044
IC ID: 168797
OMB.report
DOL/MSHA
OMB 1219-0044
ICR 198410-1219-014
IC 168797
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0044 can be found here:
2007-10-04 - Extension without change of a currently approved collection
2004-09-22 - Extension without change 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:
RECORD OF RESULTS OF EXAMINATIONS OF SELF-RESCUERS (30 CFR 75.1714-3)
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-243R
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,601
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
2,075
0
75
0
0
2,000
Annual IC Time Burden (Hours)
8,798
0
318
0
0
8,480
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.