Information Collection

Brookwood-Sago Mine Safety Grants (FY2021)

IC 245691 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⚠️ Notice: This information collection may be referencing outdated material.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
Form FOA-BS-2021-1 Brookwood-Sago Mining Safety Grants Brookwood-Sago Mine Safety Grants (FY2021)	Form and Instruction
FOA-BS-2021-1 Brookwood-Sago Mining Safety Grants Brookwood Sago FOA2.16.21.docx	Form and Instruction
Brookwood-Sago Mining Safety Grants (FY2021) Supporting Statement.docx Brookwood-Sago Mining Safety Grants (FY2021) Supporting Statement	IC Document

IC Title:

Brookwood-Sago Mine Safety Grants (FY2021)

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
Form and Instruction	FOA-BS-2021-1				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

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	25	25
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Brookwood-Sago Mining Safety Grants (FY2021) Supporting Statement		02/08/2021

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

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