Information Collection Request

Qualification/Certification Program Request for Mine Safety and Health Administration Individual Identification Number

ICR 201611-1219-003 · OMB 1219-0143 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5000-46 Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals Form and Instruction Modified Available
Form 5000-46 Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector Form and Instruction Modified Available
SORN MSHA DOL Vol 67 FR No 67 April 8 2002 p 16816.pdf Supplementary Document Uploaded 2014-02-12 Available
1219-0143 Supporting Statement 3-28-17.doc Supporting Statement A Uploaded 2017-03-29 Available
1219-0143 PUBLISHED 60 DAY FRN 12-27-16 v81 95199.pdf Supplementary Document Uploaded 2017-03-10 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved 07/31/2017
9,000 0 16,000
750 0 1,333
85 0 58,827





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 9,000 16,000 0 0 -7,000 0
Annual Time Burden (Hours) 750 1,333 0 0 -583 0
Annual Cost Burden (Dollars) 85 58,827 0 0 -58,742 0


Reginfo record details
  No