Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report (30 CFR 50.10; 50.11; 50.20; and 50.30)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0007 can be found here:

Documents and Forms

Document Name Document Type
Form MSHA-7000-1 Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report (30 CFR 50.10; 50.11; 50.20; and 50.30) Form
MSHA-7000-1 Mine Accident, Injury and Illness Report Form 7000-1 (Mine Accident, Injury & Illness Report).pdf www.msha.gov/forms/elawsforms/7000-1.htm Form
MSHA-7000-2 Quarterly Mine Employment and Coal Production Report 2004 7000-2.pdf www.msha.gov/forms/elawsforms/7000-2.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report (30 CFR 50.10; 50.11; 50.20; and 50.30)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 50.10 30 CFR 50.11 30 CFR 50.20 30 CFR 50.30

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MSHA-7000-1	Mine Accident, Injury and Illness Report	Form 7000-1 (Mine Accident, Injury & Illness Report).pdf	http://www.msha.gov/forms/elawsforms/7000-1.htm	Yes	Yes	Fillable Fileable
Form	MSHA-7000-2	Quarterly Mine Employment and Coal Production Report	2004 7000-2.pdf	http://www.msha.gov/forms/elawsforms/7000-2.htm	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,295	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 29 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	139,903	6,051	133,852
Annual IC Time Burden (Hours)	270,666	165,624	105,042
Annual IC Cost Burden (Dollars)	31,993	-2,007	34,000

Documents for IC

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.