Information Collection

Brookwood-Sago Mine Safety and State Assistance Grants for FY 2012

IC 202241 under ICR 201108-1225-001 · OMB 1225-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0086 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
State SGA for FY 2012.doc www.ccr.gov	Other-Grant Solicitation
MSHA State SGA 2012 Justification PRA (20120523).doc Brookwood-Sago Mine Safety and State Assistance Grants for FY 2012 Justification	IC Document

IC Title:

Brookwood-Sago Mine Safety and State Assistance Grants for FY 2012

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Grant Solicitation			State SGA for FY 2012.doc	http://www.ccr.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 12 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	1,375	1,375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Brookwood-Sago Mine Safety and State Assistance Grants for FY 2012 Justification	MSHA State SGA 2012 Justification PRA (20120523).doc	05/23/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.