Information Collection

Training Plan Regulations and Certificate of Training

IC 38514 under ICR 200710-1219-001 · OMB 1219-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MSHA-5000-23 Training Plan Regulations and Certificate of Training	Form
MSHA-5000-23 Certificate of Training 5000-23.pdf www.msha.gov/forms/elawsforms/5000-23.htm	Form

IC Title:

Training Plan Regulations and Certificate of Training

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 48.3 30 CFR 48.9 30 CFR 48.23 30 CFR 48.29

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MSHA-5000-23	Certificate of Training	5000-23.pdf	http://www.msha.gov/forms/elawsforms/5000-23.htm	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,216

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	123,219	7,824	115,395
Annual IC Time Burden (Hours)	19,186	5,899	13,287
Annual IC Cost Burden (Dollars)	245,144	-765,856	1,011,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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