Certificate of Electrical Training (instructors and contractors)

Certificate of Electrical Training and Applications for Mine Safety and Health Administration Approved Tests and State Tests Administered as Part of a Mine Safety and Health Admin. Approved Program

OMB: 1219-0001

IC ID: 14333

Information Collection (IC) Details

View Information Collection (IC)

Certificate of Electrical Training (instructors and contractors)
 
No Modified
 
Mandatory
 
30 CFR 77.103(a)(2) 30 CFR 75.153(a)(2)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MSHA Form 5000-1 Certificate of Electrical Training 5000-1 Certificate of Electrical Training (OMB).pdf http://www.msha.gov/forms/elawsforms/5000-1.htm Yes Yes Fillable Fileable
Form and Instruction MSHA Form 5000-1 Certificate of Electrical Training EGov5000-1 Screen Shots.doc http://www.msha.gov/forms/elawsforms/5000-1.htm Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

1,333 0
   
Private Sector Businesses or other for-profits
 
   66 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,333 0 0 494 0 839
Annual IC Time Burden (Hours) 555 0 0 205 0 350
Annual IC Cost Burden (Dollars) 453 0 0 -28,399 0 28,852

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