Radiation Sampling and Exposure Records

ICR 200409-1219-001

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
IC ID
Document
Title
Status
14336 Migrated
ICR Details
1219-0003 200409-1219-001
Historical Active 200108-1219-004
DOL/MSHA
Radiation Sampling and Exposure Records
Extension without change of a currently approved collection   No
Regular
Approved without change 12/01/2004
Retrieve Notice of Action (NOA) 09/03/2004
  Inventory as of this Action Requested Previously Approved
12/31/2007 12/31/2007 11/30/2004
100 0 100
800 0 800
0 0 0

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

None
None


No

1
IC Title Form No. Form Name
Radiation Sampling and Exposure Records MSHA-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 100 100 0 0 0 0
Annual Time Burden (Hours) 800 800 0 0 0 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.
09/03/2004


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