Information Collection Request

Survey of Coal Mine Safety Interventions

ICR 201004-0920-012 · OMB 0920-0862 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix E Letter of Support.pdf Supplementary Document Uploaded 2010-08-17 Available
Web Measurement Guidance m10-221.pdf Supplementary Document Uploaded 2010-08-12 Available
Section B .doc Supporting Statement B Uploaded 2010-08-12 Available
HSRB 09-PRL-NR04 062509 non-res McWilliamsL surveyCoal.pdf Supplementary Document Uploaded 2010-04-05 Available
Appendix J MSHA Form 7000.pdf Supplementary Document Uploaded 2010-04-05 Available
Appendix I Reminder Postcard.doc Supplementary Document Uploaded 2010-04-05 Available
Appendix D Cover Letter .doc Supplementary Document Uploaded 2010-04-05 Available
Appendix K Pre-Notification Letter .doc Supplementary Document Uploaded 2010-08-12 Available
Section A .doc Supporting Statement A Uploaded 2010-08-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
192722 Non-Respondent follow-up Instruction New
192721 Respondents completing web survey Instruction New
192720 Respondents completing paper survey Instruction New
192719 Initial Telephone Screening contact with coal mines Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2011 36 Months From Approved
600 0 0
142 0 0
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Initial Telephone Screening contact with coal mines
Respondents completing paper survey
Respondents completing web survey
Non-Respondent follow-up

table that charts list 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 600 0 0 600 0 0
Annual Time Burden (Hours) 142 0 0 142 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No