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Hearing Conservation Plan (30 Cfr 70.510 And 71.805)
HEARING CONSERVATION PLAN (30 CFR 70.510 AND 71.805)
OMB: 1219-0017
IC ID: 168722
OMB.report
DOL/MSHA
OMB 1219-0017
ICR 198609-1219-014
IC 168722
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0017 can be found here:
2000-03-20 - No material or nonsubstantive change to a currently approved collection
1997-03-07 - Reinstatement without change of a previously 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:
HEARING CONSERVATION PLAN (30 CFR 70.510 AND 71.805)
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-210
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
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
170
0
0
5
0
165
Annual IC Time Burden (Hours)
85
0
0
2
0
83
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.