Information Collection Request

Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)

ICR 202003-1219-004 · OMB 1219-0143 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5000-46 Request for Individual Identification Number (MIIN) Form Modified Available
Form 5000-46 Request for MSHA Individual Identification Number (MIIN) Form and Instruction Modified Available
Form 5000-46 Request for Individual Identification Number (MIIN) Form Modified Available
Form 5000-46 Request for MSHA Individual Identification Number (MIIN) Form and Instruction Modified Available
1219-0143 Sup Statement.docx Supporting Statement A Uploaded 2020-10-29 Available
60-day FRN (1219-0143) published.pdf Supplementary Document Uploaded 2020-07-17 Available
30-day FRN (1219-0143) published.pdf Supplementary Document Uploaded 2020-07-17 Available
2016-09510 SORN.pdf Supplementary Document Uploaded 2020-06-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
210355 Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals Form ModifiedRequest for Individual Identification Number (MIIN)
210355 Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals Form and Instruction ModifiedRequest for MSHA Individual Identification Number (MIIN)
210355 Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals Instruction Modified
181962 Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector Form ModifiedRequest for Individual Identification Number (MIIN)
181962 Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector Form and Instruction ModifiedRequest for MSHA Individual Identification Number (MIIN)
181962 Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2023 36 Months From Approved 10/31/2020
7,500 0 9,000
625 0 750
75 0 85





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals 5000-46, 5000-46 ,  
Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector 5000-46, 5000-46 ,  

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 7,500 9,000 0 0 -1,500 0
Annual Time Burden (Hours) 625 750 0 0 -125 0
Annual Cost Burden (Dollars) 75 85 0 0 -10 0


Reginfo record details
  No