Application for a Permit to Fire More than 20 Boreholes for the use of Nonpermissible Blasting Units, Explosives and Shot-firing Units

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Information Collection (IC) Details

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IC Title:	Application for a Permit to Fire More than 20 Boreholes for the use of Nonpermissible Blasting Units, Explosives and Shot-firing Units	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 75.1321 30 CFR 75.1327 30 CFR 77.1909-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	107	2	105
Annual IC Time Burden (Hours)	69	2	67
Annual IC Cost Burden (Dollars)	635	-365	1,000

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.