Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form MSHA Form 2000-224 Operator’s Annual Certification of Mine Rescue Team Qualifications	Form and Instruction	Removed	Available
Form 5000-3 Certificate of Physical Qualification for Mine Rescue Work	Form	Modified	Available
Form MSHA Form 2000-224 Operator’s Annual Certification of Mine Rescue Team Qualifications	Form and Instruction	Modified	Available
Form MSHA FORM 5000-3 Certificate of Physical Qualification for Mine Rescue Work (Intro Screen)	Form and Instruction	Removed	Available
Form MSHA Form 5000-3 Certificate of Physical Qualification for Mine Rescue Work	Form and Instruction	Removed	Available
1219-0144 Sup Statement 2-10-2020.docx	Supporting Statement A	Uploaded 2020-02-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
208453	49.16 (Record Corrective Actions)		Removed
208450	77.1702		Removed
208449	75.1713-1		Removed
208448	49.50/ MSHA Form 2000-224 (Certifying)	Form and Instruction	Removed	Operator’s Annual Certification of Mine Rescue Team Qualifications
208448	49.50/ MSHA Form 2000-224 (Certifying)	Instruction	Removed
208447	Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements	Form	Modified	Certificate of Physical Qualification for Mine Rescue Work
208447	Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements	Form and Instruction	Modified	Operator’s Annual Certification of Mine Rescue Team Qualifications
208447	Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements	Instruction	Modified
208446	49.19		Removed
208445	49.18		Removed
208444	49.17/ MSHA Form 5000-3	Form and Instruction	Removed	Certificate of Physical Qualification for Mine Rescue Work (Intro Screen)
208444	49.17/ MSHA Form 5000-3	Form and Instruction	Removed	Certificate of Physical Qualification for Mine Rescue Work
208443	49.16 (Certify)		Removed
208442	49.13		Removed
181977	49.12		Removed

ICR Details

OMB Control No: 1219-0144	ICR Reference No: 201910-1219-005
Status: Historical Active	Previous ICR Reference No: 201611-1219-002
Agency/Subagency: DOL/MSHA	Agency Tracking No:
Title: Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/14/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/20/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	07/31/2020
Responses	40,588	0	15,280
Time Burden (Hours)	13,107	0	2,203
Cost Burden (Dollars)	1,980,169	0	617,070

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Abstract: OMB No. 1219-0144 and 1219-0078 (Expiring 2/29/2020) are being combined into 1219-0144 only. The 5000-3 Form, which currently belongs to both OMB No.’s, will then cover one OMB No. only after this combination occurs. The respondents for the paperwork provisions of this rule are underground mine operators. The records will be used by mine operators, supervisors, and employees, and State and Federal mine inspectors to provide assurance that each mine operator and mine rescue team is prepared for a mine emergency. The records show that the mine rescue team equipment has been examined and tested and is in good working order. The training records show that the mine rescue team members and the responsible persons at the mine are competent to respond to a mine emergency involving a fire, an explosion, or a gas or water inundation. The records greatly assist those who use them in making decisions that will ultimately affect the safety of all persons working underground. These information collection requirements help assure that properly trained mine rescue teams are readily available to save endangered miners in life-threatening situations. In addition, the training requirements in this information collection will help assure the safety of the mine rescue team itself.

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Authorizing Statute(s): US Code: 30 USC 811 Name of Law: Federal Mine Safety and Health Act of 1977
   US Code: 30 USC 813(h) Name of Law: Federal Mine Safety and Health Act of 1977
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 66697	12/05/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 9482	02/19/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
49.12
49.13
49.16 (Certify)
49.16 (Record Corrective Actions)
49.17/ MSHA Form 5000-3	MSHA Form 5000-3, MSHA FORM 5000-3	Certificate of Physical Qualification for Mine Rescue Work ,   Certificate of Physical Qualification for Mine Rescue Work (Intro Screen)
49.18
49.19
49.50/ MSHA Form 2000-224 (Certifying)	MSHA Form 2000-224	Operator’s Annual Certification of Mine Rescue Team Qualifications
75.1713-1
77.1702
Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements	MSHA Form 2000-224, 5000-3	Operator’s Annual Certification of Mine Rescue Team Qualifications ,   Certificate of Physical Qualification for Mine Rescue Work

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	40,588	15,280	0	19,973	5,335	0
Annual Time Burden (Hours)	13,107	2,203	0	9,941	963	0
Annual Cost Burden (Dollars)	1,980,169	617,070	0	309,068	1,054,031	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a revision reflecting increased vales on all items as a result of combining OMB No. 1219-0078 into this ICR, OMB No. 1219-0144. The table below shows the changes in burden based the difference between the sum of the previous combined clearances for 1219-0078 and 1219-0144 and this request combining both ICR’s. Previously approved totals for OMB No.1219-0078 are being added to this ICR as a Program Change Due to Agency Discretion for the previously approved 19,973 responses, 9,941 hours and $309,068 in annual cost burden. Adjustments are made for current estimates and both ICR’s are added together in the combined request. Since the last clearance of 1219-0144, there has been an increase in the number of rescue teams that resulted in increased burden. A small amount of the increase is due to updating and standardizing the costs for similar provisions in the combined collection. Burden for this Combined Request (OMB No. 1219-0078 added to this ICR, OMB No. 1219-0144) Combined Inventory of the Existing Collections (OMB No. 1219-0078 and this ICR, OMB No. 1219-0144) Responses 40,588 35,253 Time Burden (Hours) 13,107 12,144 Cost Burden (Dollars) $1,980,169 $926,138 This result of adding these two ICR’s in the combined request will increase the respondents from 275 to 577, responses from 15,280 to 40,588, burden from 2,203 to 13,107, and cost from $617,070 to $1,980,169 for OMB No. 1219-0144 as a single ICR. Upon approval of OMB No. 1219-0144, OMB 1219-0078 will be discontinued leaving no burden on the OMB inventory for that ICR.

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Annual Cost to Federal Government: $17,441

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/20/2020

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