Information Collection

Training Plan Regulations and Certificate of Training

IC 38514 under ICR 201502-1219-001 · OMB 1219-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5000-23 Certificate of Training Training Plan Regulations and Certificate of Training	Form
MSHA_ Instructions for Completing MSHA Training Form 5000-23.pdf www.msha.gov/forms/523INSTR.htm	Instruction
elaws - MSHA Training Plan Advisor.pdf www.dol.gov/elaws/msha_train.htm	Instruction
MSHA - Forms and Online Filings - Form 5000-23 - Certificate of Training.pdf www.msha.gov/forms/elawsforms/5000-23.htm	Instruction
5000-23 Certificate of Training 5000-23.pdf www.msha.gov/forms/elawsforms/5000-23.htm	Form
MSHA - Program Policy Manual - Volume III.mht MSHA-Program Policy Manual-Volume III	IC Document

IC Title:

Training Plan Regulations and Certificate of Training

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 48.9 30 CFR 48.3 30 CFR 48.29 30 CFR 48.23

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5000-23	http://www.msha.gov/forms/elawsforms/5000-23.htm	Yes	Yes	Fillable Fileable
Instruction		http://www.msha.gov/forms/523INSTR.htm	Yes	Yes	Fillable Fileable
Instruction		http://www.dol.gov/elaws/msha_train.htm	Yes	No	Fillable Printable
Instruction		http://www.msha.gov/forms/elawsforms/5000-23.htm	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,331

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	Previously Approved
Annual Number of Responses for this IC	108,368	1	108,367
Annual IC Time Burden (Hours)	15,070	1	15,069
Annual IC Cost Burden (Dollars)	269,543	2	269,541

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MSHA-Program Policy Manual-Volume III		05/09/2011

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

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