Certificate of Electrical Training (State Grantees)

Certificate of Electrical Training and Applications for MSHA Approved Tests and State Tests Administered as Part of an MSHA-approved State Program

OMB: 1219-0001

IC ID: 192599

Information Collection (IC) Details

View Information Collection (IC)

Certificate of Electrical Training (State Grantees)
 
No Modified
 
Mandatory
 
30 CFR 75.153(a)(2) 30 CFR 77.103(a)(2)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MSHA Form 5000-1 Certificate of Electrical Training 5000-1.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/certificate-electricalnoise-training Yes Yes Fillable Fileable
Form and Instruction MSHA Form 5000-1 Certificate of Electrical Training Intro Certificate of Electrical Noise Training.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/certificate-electricalnoise-training Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

79 0
   
State, Local, and Tribal Governments
 
   79 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 748 0 0 252 0 496
Annual IC Time Burden (Hours) 312 0 0 105 0 207
Annual IC Cost Burden (Dollars) 413 0 0 139 0 274

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

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