Training Plan Regulations and Certificate of Training

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 5000-23 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 Certificate of Training - (OMB).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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5000-23	Certificate of Training	5000-23 Certificate of Training - (OMB).pdf	http://www.msha.gov/forms/elawsforms/5000-23.htm	Yes	Yes	Fillable Fileable
Instruction			MSHA_ Instructions for Completing MSHA Training Form 5000-23.pdf	http://www.msha.gov/forms/523INSTR.htm	Yes	Yes	Fillable Fileable
Instruction			elaws - MSHA Training Plan Advisor.pdf	http://www.dol.gov/elaws/msha_train.htm	Yes	No	Fillable Printable
Instruction			MSHA - Forms and Online Filings - Form 5000-23 - Certificate of Training.pdf	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 %

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

Documents for IC

Title	Document	Date Uploaded
MSHA-Program Policy Manual-Volume III	MSHA - Program Policy Manual - Volume III.mht	05/09/2011

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