Qualification/Certification Program and Man Hoist Operators Physical Fitness

Forms and Documents

Document Name	Status
Form 5000-41 Qualification/Certification Program and Man Hoist Operators Physical Fitness Form	Modified
1219-0127 ROCIS.pdf Supporting Statement A	2008-02-15

IC Document Collections

IC ID	Document Title	Status
14507	Qualification/Certification Program and Man Hoist Operators Physical Fitness Form	Modified

ICR Details

OMB Control No: 1219-0127	ICR Reference No: 200802-1219-003
Status: Historical Active	Previous ICR Reference No: 200502-1219-003
Agency/Subagency: DOL/MSHA	Agency Tracking No:
Title: Qualification/Certification Program and Man Hoist Operators Physical Fitness
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/22/2008
	Date Received in OIRA: 02/29/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2011	36 Months From Approved	04/30/2008
Responses	2,432	0	10,568
Time Burden (Hours)	15,355	0	17,723
Cost Burden (Dollars)	8,047	0	8,000

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Abstract: Pertains to certification of certain persons to perform specific exams and tests. Also contains procedures under which coal mine operators are required to maintain a list of certified and qualified persons, and to develop an approved training plan for hosting engineers or host men.

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Authorizing Statute(s): PL: Pub.L. 91 - 173 101(a) and 103 (a) Name of Law: Federal Mine Safety & Health Act of 1977
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 70349	12/11/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 10469	02/27/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Qualification/Certification Program and Man Hoist Operators Physical Fitness	5000-41	Health Activity Certification or Hoisting Engineers Qualification Request Form

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ICR Summary of Burden

	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	2,432	10,568	0	0	-8,136	0
Annual Time Burden (Hours)	15,355	17,723	0	0	-2,368	0
Annual Cost Burden (Dollars)	8,047	8,000	0	0	47	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The decrease in burden hours (from 17,567 to 15,355) is due to a decrease in the number of respondents (from 1,989 to 1,721). This is due to a decrease in the number of coal mines. The increase in costs results from increased postage fees.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/29/2008

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