representative of Miners (30 CFR 40.3, 40.4, and 40.5)

ICR 200310-1219-009

OMB: 1219-0042

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
38525 Migrated
ICR Details
1219-0042 200310-1219-009
Historical Active 200109-1219-003
DOL/MSHA
representative of Miners (30 CFR 40.3, 40.4, and 40.5)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/02/2003
Retrieve Notice of Action (NOA) 10/02/2003
  Inventory as of this Action Requested Previously Approved
11/30/2004 11/30/2004 10/31/2004
9,033 0 108
2,075 0 81
3,000 0 0

Requires a document evidencing designation as miner's representative and a statement of authority to be filed with MSHA and sent to the mine operator for posing, and when appropriate, a letter terminating the designation.

None
None


No

1
IC Title Form No. Form Name
representative of Miners (30 CFR 40.3, 40.4, and 40.5) 2000-7

  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 9,033 108 0 0 8,925 0
Annual Time Burden (Hours) 2,075 81 0 0 1,994 0
Annual Cost Burden (Dollars) 3,000 0 0 0 3,000 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.
10/02/2003


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