Change Request Justification

1219-0141 chage req.docx

Emergency Mine Evacuation

Change Request Justification

OMB: 1219-0141

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1219-0141 CHANGE REQUEST



Change applies to: 2000-222 Form Only

Level of Change: Simple, non-substantive

On 5/10/2017, MSHA requests change to the form to be mailed to the Tridelphia address. No content change is requested. No burden changes at all.



The new SCSR Inventory form 2000-222 will replace the old used for 1219-0141.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBouchet, Nicole - MSHA
File Modified0000-00-00
File Created2021-01-22

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