Radiation Sampling and Exposure Records

Radiation Sampling and Exposure Records

OMB: 1219-0003

IC ID: 14336

Information Collection (IC) Details

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Radiation Sampling and Exposure Records
 
No Modified
 
Mandatory
 
30 CFR 57.5040 30 CFR 57.5037

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 4000-9 Record of Individual Exposure to Radon Daughters MSHA Form 4000-9 (Record of Individual Exposure to Radon Daughters).pdf https://www.msha.gov/sites/default/files/Support_Resources/Forms/4000-9.pdf Yes Yes Fillable Fileable Signable

Workforce Management Worker Safety

DOL-MSHA 1, Mine Safety and Health Administration Standardized Information System (MSIS)  81 FR 25766

4 0
   
Private Sector Businesses or other for-profits
 
   40 %

  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 404 0 0 -101 0 505
Annual IC Time Burden (Hours) 402 0 0 -100 0 502
Annual IC Cost Burden (Dollars) 20 0 0 -5 0 25

Title Document Date Uploaded
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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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