Emergency Mine Evacuation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0141 can be found here:

Documents and Forms

Document Name Document Type
Form 2000-222 Emergency Mine Evacuation Form
2000-222 SCSR Inventory and Report MSHA_Form_SCSR Inventory & Report.doc www.msha.gov/forms/ELawsForms/2000-222.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Emergency Mine Evacuation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 75.1504 30 CFR 75.1505 30 CFR 48.3 30 CFR 75.1502 30 CFR 75.1714-3 30 CFR 75.1714-8 30 CFR 75.1714-5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2000-222	SCSR Inventory and Report	MSHA_Form_SCSR Inventory & Report.doc	http://www.msha.gov/forms/ELawsForms/2000-222.htm	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 622	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,084,830	-273,546	1,358,376
Annual IC Time Burden (Hours)	7,836	-16,084	23,920
Annual IC Cost Burden (Dollars)	68,528	58,777	9,751

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.