Information Collection

Respirable Coal Mine Dust Sampling

IC 43812 under ICR 201904-1219-004 · OMB 1219-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MSHA-NA Respirable Coal Mine Dust Sampling	Form
MSHA-NA Mine Operator Coal Dust Operator Data Card Front_and_Back_of_Dust_Data_card.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Respirable Coal Mine Dust Sampling

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 71.201(a), (d), (e); (f) 30 CFR 70.201(b)(2),(e),(f),(g),(j) 30 CFR 90.201(f), (g), (j) 30 CFR 90.209(b), (c); 30 CFR 70.212(a); 71.209(a); 90.210 30 CFR 71.300(a), (a)(1), (a)(3) 30 CFR 90.300(a) 30 CFR 71.301(d)(1), (d)(3), (e) 30 CFR 90.301(d), (e) 30 CFR 75.370(a)(3)(i)(a3iii)(f1,f3) 30 CFR 70.205(b)(2); 71.205(b)(2) 30 CFR 70.210(a), (c), (d), (f) 30 CFR 90.207(c)(3), (f)(3) 30 CFR 70.211(b), (c) 30 CFR 71.207(a), (c), (d), (f) 30 CFR 71.208(b), (c) 30 CFR 90.208(d), (f) 30 CFR 70.208(e)(3), (h)(3), (i)(2) 30 CFR 70.209(c)(3), (f)(3), (g)(2) 30 CFR 71.206(d), (e), (h)(3), (k)(3)

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	MSHA-NA	Mine Operator Coal Dust Operator Data Card	Front_and_Back_of_Dust_Data_card.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,035

Number of Respondents for Small Entity: 780

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 16 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,291,236	-413,130	1,704,366
Annual IC Time Burden (Hours)	62,748	-31,730	94,478
Annual IC Cost Burden (Dollars)	28,065	-12,902	40,967

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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