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⚠️ Notice: This information collection may be referencing outdated material.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 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
7000-1 Mine Accident, Injury and Illness Report 7000-1 Mine Accident, Injury and Illness Report.pdf www.msha.gov/forms/elawsforms/7000-1.htm Form
7000-2 Quarterly Mine Employment and Coal Production Report 7000-2 QME and Coal Production Report.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 50.11 30 CFR 50.20 30 CFR 50.10 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	7000-1	Mine Accident, Injury and Illness Report	7000-1 Mine Accident, Injury and Illness Report.pdf	http://www.msha.gov/forms/elawsforms/7000-1.htm	Yes	Yes	Fillable Fileable
Form	7000-2	Quarterly Mine Employment and Coal Production Report	7000-2 QME and Coal Production Report.pdf	http://www.msha.gov/forms/elawsforms/7000-2.htm	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27,193	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	144,450	4,547	139,903
Annual IC Time Burden (Hours)	210,976	-59,690	270,666
Annual IC Cost Burden (Dollars)	5,832	-26,161	31,993

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.