Information Collection

Training Plan Regulations and Certificate of Training

IC 38514 under ICR 201708-1219-004 · OMB 1219-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MSHA_ Instructions for Completing MSHA Training Form 5000-23.pdf www.msha.gov/forms/523INSTR.htm	Instruction
elaws - MSHA Training Plan Advisor.pdf www.dol.gov/elaws/msha_train.htm	Instruction
MSHA - Forms and Online Filings - Form 5000-23 - Certificate of Training.pdf www.msha.gov/forms/elawsforms/5000-23.htm	Instruction
5000-23 Certificate of Training 5000-23 Certificate of Training - (OMB).pdf www.msha.gov/forms/elawsforms/5000-23.htm	Form
MSHA - Program Policy Manual - Volume III.mht MSHA-Program Policy Manual-Volume III	IC Document

IC Title:

Training Plan Regulations and Certificate of Training

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 48.3 30 CFR 48.29 30 CFR 48.23 30 CFR 48.9

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
Instruction			elaws - MSHA Training Plan Advisor.pdf	http://www.dol.gov/elaws/msha_train.htm	Yes	No	Fillable Printable
Instruction			MSHA - Forms and Online Filings - Form 5000-23 - Certificate of Training.pdf	http://www.msha.gov/forms/elawsforms/5000-23.htm	Yes	Yes	Fillable Fileable
Form	5000-23	Certificate of Training	5000-23 Certificate of Training - (OMB).pdf	http://www.msha.gov/forms/elawsforms/5000-23.htm	Yes	Yes	Fillable Fileable
Instruction			MSHA_ Instructions for Completing MSHA Training Form 5000-23.pdf	http://www.msha.gov/forms/523INSTR.htm	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,526

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	123,186	14,818	108,368
Annual IC Time Burden (Hours)	13,964	-1,106	15,070
Annual IC Cost Burden (Dollars)	371,118	101,575	269,543

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MSHA-Program Policy Manual-Volume III	MSHA - Program Policy Manual - Volume III.mht	05/09/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.