ANNUAL STATUS REPORT & CERTIFICATION AND WEEKLY INSPECTIONS OF REFUSE PILES & IMPOUNDMENTS (30 CFR 77.215-2(B)(4) THROUGH (8) AND (C), 77.215-3, 77.216-3, AND 77.216-4)
ICR 199005-1219-005
OMB: 1219-0015
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1219-0015 can be found here:
ANNUAL STATUS REPORT &
CERTIFICATION AND WEEKLY INSPECTIONS OF REFUSE PILES &
IMPOUNDMENTS (30 CFR 77.215-2(B)(4) THROUGH (8) AND (C), 77.215-3,
77.216-3, AND 77.216-4)
REQUIRES COAL MINE OPERATORS TO SUBMIT
TO MSHA AN ANNUAL STATUS REPORT AND CERTIFICATION ON REFUSE PILES
AND IMPOUNDMENTS, AND TO KEEP RECORD OF THE RESULTS OF WEEKLY
EXAMINATIONS AND INSTRUMENTATION MONITORING.
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.