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MSHA Form 5000-3, Certificate of Physical Qualification for Mine Rescue Work
FORM 5000-3.pdf
Mine Rescue Teams for Underground Coal Mine Operators
MSHA Form 5000-3, Certificate of Physical Qualification for Mine Rescue Work
OMB: 1219-0144
OMB.report
DOL/MSHA
OMB 1219-0144
ICR 201003-1219-001
MSHA Form 5000-3, Certificate of Physical Qualification for Mine Rescue Work
( Supplementary Document )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1219-0144 can be found here:
2023-06-01 - Extension without change of a currently approved collection
2020-02-20 - Revision of a currently approved collection
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