Information Collection

Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector

IC 181962 under ICR 201611-1219-003 · OMB 1219-0143.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0143 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5000-46 Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector	Form and Instruction
5000-46 Request for MSHA Individual Identification Number (MIIN) 5000-46 MIIN Miner Individual Identification No. (OMB).pdf arlweb.msha.gov/forms/elawsforms/5000-46.htm	Form and Instruction
5000-46 Request for Individual Identification Number (MIIN) MIIN Screenshots.docx lakegovprod3.msha.gov/MIIN/MIIN.aspx	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 70.207 30 CFR 75.153 30 CFR 75.155 30 CFR 75.100 30 CFR 70.210 30 CFR 77.100 30 CFR 77.102 30 CFR 77.103 30 CFR 77.104 30 CFR 77.105 30 CFR 90.3 30 CFR 90.202 30 CFR 90.203 30 CFR 90.208 30 CFR 90.209 30 CFR 90.100(b) 30 CFR 77.101 30 CFR 75.150

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5000-46	Request for MSHA Individual Identification Number (MIIN)	5000-46 MIIN Miner Individual Identification No. (OMB).pdf	https://arlweb.msha.gov/forms/elawsforms/5000-46.htm	Yes	Yes	Fillable Printable
Form	5000-46	Request for Individual Identification Number (MIIN)	MIIN Screenshots.docx	https://lakegovprod3.msha.gov/MIIN/MIIN.aspx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title: DOL/MSHAâ13 & -15

FR Citation: 67 FR 16816

Number of Respondents: 7,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,000	-5,000	12,000
Annual IC Time Burden (Hours)	583	-417	1,000
Annual IC Cost Burden (Dollars)	66	-44,054	44,120

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.