Information Collection

Mine Health and Safety Grants

IC 241562 under ICR 201905-1225-001 · OMB 1225-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0086 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CTS 11373 FY 2020 State Grants FOA (4-3-20)_BMcK CHR RM.docx	Other-FOA Document
FY20 State Grants Mini Sup Statement 1-22-20.docx FOA Supplemental Supporting Statement	IC Document

IC Title:

Mine Health and Safety Grants

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Other-FOA Document			CTS 11373 FY 2020 State Grants FOA (4-3-20)_BMcK CHR RM.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
FOA Supplemental Supporting Statement	FY20 State Grants Mini Sup Statement 1-22-20.docx	04/27/2020

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