Information Collection Request

Application for Waiver of Surface Sanitary Facilities Requirements (Pertaining to Coal Mines)

ICR 201702-1219-001 · OMB 1219-0024 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1219-0024 Supporting Statement 9-2016.doc Supporting Statement A Uploaded 2017-02-03 Available
MSHA-2016-0035-0001.pdf Supplementary Document Uploaded 2017-02-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
14379 Application for Waiver of Surface Sanitary Facilities Requirements (Pertaining to Coal Mines) Modified

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2020 36 Months From Approved 05/31/2017
731 0 887
301 0 368
3,655 0 4,435





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table that charts list of burden
IC Title Form No. Form Name
Application for Waiver of Surface Sanitary Facilities Requirements (Pertaining to Coal Mines)

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 731 887 0 0 -156 0
Annual Time Burden (Hours) 301 368 0 0 -67 0
Annual Cost Burden (Dollars) 3,655 4,435 0 0 -780 0


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