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

Forms and Documents

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

IC Document Collections

IC ID	Document Title	Status
210355	Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals Form and Instruction	Modified
181962	Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector Form and Instruction	Modified

ICR Details

OMB Control No: 1219-0143	ICR Reference No: 201611-1219-003
Status: Historical Active	Previous ICR Reference No: 201401-1219-001
Agency/Subagency: DOL/MSHA	Agency Tracking No:
Title: Qualification/Certification Program Request for Mine Safety and Health Administration Individual Identification Number
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/14/2017
	Date Received in OIRA: 05/15/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2020	36 Months From Approved	07/31/2017
Responses	9,000	0	16,000
Time Burden (Hours)	750	0	1,333
Cost Burden (Dollars)	85	0	58,827

---

Abstract: MSHA issues certifications, qualifications and approvals to the nation's miners to conduct specific work within the mines. Miners requiring qualification or certification from MSHA will register for an "MSHA Individual Identification Number" (MIIN). MSHA uses this unique number in place of individual SSNs for all MSHA collections. The MIIN identifier fulfills Executive Order 13402, Strengthening Federal Efforts Against Identity Theft, which requires Federal agencies to better secure government held data.

---

Authorizing Statute(s): US Code: 30 USC 811(a) Name of Law: Federal Mine Safety & Health Act of 1977
   US Code: 30 USC 813(h) Name of Law: Federal Mine Safety & Health Act of 1977
   US Code: 31 USC 7701(c)(2)(B) Name of Law: Taxpayer Identifying Number
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 95199	12/27/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 22354	05/15/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector	5000-46, 5000-46	Request for MSHA Individual Identification Number (MIIN) ,   Request for Individual Identification Number (MIIN)
Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals	5000-46, 5000-46	Request for MSHA Individual Identification Number (MIIN) ,   Request for Individual Identification Number (MIIN)

---

ICR Summary 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

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: Burden hours and costs decreased due to estimated decreases in respondents. The burden cost decrease is also because 98% of the MIIN requests are processed using the electronic collection source. This method decreases the wage cost along with the mailing cost.

---

Annual Cost to Federal Government: $76,121

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

---

Common Form ICR:  No

---

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: 05/15/2017

---