Radiation Sampling and Exposure Records (30 CFR 57.5037, and 57.5040)

ICR 200108-1219-004

OMB: 1219-0003

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1219-0003 200108-1219-004
Historical Active 199810-1219-004
DOL/MSHA
Radiation Sampling and Exposure Records (30 CFR 57.5037, and 57.5040)
Extension without change of a currently approved collection   No
Regular
Approved without change 10/16/2001
Retrieve Notice of Action (NOA) 08/13/2001
Approved consistent with clarifications in DOL memos of 10-15-01. In its next submission MSHA shall discuss ways to make clearer to workers that disclosure of the social security number is not mandatory.
  Inventory as of this Action Requested Previously Approved
11/30/2004 11/30/2004 12/31/2001
100 0 1,000
800 0 8,000
0 0 0

Mine operators are required to conduct weekly sampling of airborne radon and radon daughters concentrations and to annually report individual mine's exposure.

None
None


No

1
IC Title Form No. Form Name
Radiation Sampling and Exposure Records (30 CFR 57.5037, and 57.5040) 4000-9

  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 100 1,000 0 0 -900 0
Annual Time Burden (Hours) 800 8,000 0 0 -7,200 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$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.
08/13/2001


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