Information Collection

Direct Observation: Continuous Miner Operator

IC 207520 under ICR 201306-0920-013 · OMB 0920-0981.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0981 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Direct Observation: Continuous Miner Operator	Form and Instruction
Informed Consent Appendix K_Direct Observation Consent and Consent Script.docx	Form and Instruction
Direct Observation: Continuous Miner Operator Appendix C1_Direct Observation.docx	Form
Appendix O_Direct Observation_Protocol.doc Appendix O_Direct Observation_Protocol	IC Document

IC Title:

Direct Observation: Continuous Miner Operator

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	Informed Consent	Appendix K_Direct Observation Consent and Consent Script.docx		Yes	No	Paper Only
Form	None	Direct Observation: Continuous Miner Operator	Appendix C1_Direct Observation.docx		Yes	No	Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	10	10
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Appendix O_Direct Observation_Protocol	Appendix O_Direct Observation_Protocol.doc	06/14/2013

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