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Main Fan Operation and Inspection Supervisor Countersigning
Main Fan Operation and Inspection (I-A, II-A, III, and V-A Mines)
OMB: 1219-0030
IC ID: 204162
OMB.report
DOL/MSHA
OMB 1219-0030
ICR 201508-1219-005
IC 204162
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0030 can be found here:
2022-06-07 - Extension without change of a currently approved collection
2019-04-01 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Main Fan Operation and Inspection Supervisor Countersigning
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
30 CFR 57.22204
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,980
0
0
-330
0
2,310
Annual IC Time Burden (Hours)
66
0
0
-10
0
76
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.