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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.