Information Collection

Mine Escape participants: Post-Training Questionnaire

IC 207509 under ICR 201306-0920-012 · OMB 0920-0975.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0975 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Mine Escape participants: Post-Training Questionnaire	Form and Instruction
Mine Escape participants: Post-Training Questionnaire Att C4 Mine Escape-Post-Training.docx	Form and Instruction

IC Title:

Mine Escape participants: Post-Training Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Form and Instruction	none	Mine Escape participants: Post-Training Questionnaire	Att C4 Mine Escape-Post-Training.docx		Yes	No	Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.