Record of Results of Examinations of Self-Rescuers (Underground Coal Mines)

ICR 200409-1219-004

OMB: 1219-0044

Federal Form Document

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Document
Name
Status
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ICR Details
1219-0044 200409-1219-004
Historical Active 200407-1219-005
DOL/MSHA
Record of Results of Examinations of Self-Rescuers (Underground Coal Mines)
Extension without change of a currently approved collection   No
Regular
Approved without change 11/30/2004
Retrieve Notice of Action (NOA) 09/22/2004
  Inventory as of this Action Requested Previously Approved
11/30/2007 11/30/2007 11/30/2004
143,592 0 236,632
71,748 0 118,268
0 0 0

Requires underground coal mine operators to record and make available results of examinations of self-rescuers. The information is used to insure that the self-rescurers are in operable and useable condition in case of emergency.

None
None


No

1
IC Title Form No. Form Name
Record of Results of Examinations of Self-Rescuers (Underground Coal Mines)

  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 143,592 236,632 0 0 -93,040 0
Annual Time Burden (Hours) 71,748 118,268 0 0 -46,520 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.
09/22/2004


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