Periodic Medical Surveillance Examinations for Coal Miners

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1219-0152 60-Day FRN 2017.pdf	Supplementary Document	Uploaded 2017-05-10	Available
1219-0152 Supporting Statement 12-2016.docx	Supporting Statement A	Uploaded 2017-05-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209661	Periodic Medical Surveillance Examinations for Coal Miners		Modified

ICR Details

OMB Control No: 1219-0152	ICR Reference No: 201406-1219-003
Status: Historical Active	Previous ICR Reference No: 201210-1219-002
Agency/Subagency: DOL/MSHA	Agency Tracking No:
Title: Periodic Medical Surveillance Examinations for Coal Miners
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/28/2017
	Date Received in OIRA: 06/01/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	07/31/2017
Responses	1,468	0	3,929,928
Time Burden (Hours)	1,142	0	176,321
Cost Burden (Dollars)	441	0	53,959

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Abstract: Section 72.100(d) requires that each mine operator must develop and submit for approval to NIOSH a plan in accordance with 42 CFR part 37 for providing miners with the required periodic examinations specified in 72.100(a) and a roster specifying the name and current address of each miner covered by the plan. Section 72.100(e) requires that each mine operator must post on the mine bulletin board at all times the approved plan for providing the examinations specified in 72.100(a). Section 72.100(d) and (e) are requirements that mirror NIOSH information collection requirements under 42 CFR 37.4 (existing OMB No. 0920-0020). Including these requirements allows MSHA to use its inspection and enforcement authority to ensure that operators comply with these provisions.

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Authorizing Statute(s): US Code: 30 USC 813(h) Name of Law: Federal Mine Safety and Health Act of 1977
   US Code: 30 USC 811(a) Name of Law: Federal Mine Safety and Health Act of 1977
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 13658	03/14/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 25337	06/01/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Periodic Medical Surveillance Examinations for Coal Miners

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,468	3,929,928	0	0	-3,928,460	0
Annual Time Burden (Hours)	1,142	176,321	0	0	-175,179	0
Annual Cost Burden (Dollars)	441	53,959	0	0	-53,518	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The decrease is due to provisions removed from this collection from the approved rule package ICR Reference Number, 201210-1219-002. All provisions but 72.100(d) and 72.100(e) were reallocated to their respective ICR packages. 1219-0152 Remaining Provisions: 72.100(d) and 72.100(e) There is a program change (decrease) requested in burden hours (176,321 to 1,142) in responses (3,929,928 to 1,468) and in costs ($53,959 to $441).

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/01/2017

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