Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0143 can be found here:

Documents and Forms

Document Name Document Type
Form 5000-46 Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN) Form
5000-46 Instruction for Completing MSHA's MIIN 5000-46 Instruc. for Completing MSHAs MIIN (Feb. 11) OMB.pdf www.msha.gov/forms/elawsforms/5000-46.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 48 30 CFR 70 30 CFR 75 30 CFR 77 30 CFR 90

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5000-46	Instruction for Completing MSHA's MIIN	5000-46 Instruc. for Completing MSHAs MIIN (Feb. 11) OMB.pdf	http://www.msha.gov/forms/elawsforms/5000-46.htm	Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	11,000	-29,000	40,000
Annual IC Time Burden (Hours)	916	-2,416	3,332
Annual IC Cost Burden (Dollars)	5,170	-6,269	11,439

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.