Information Collection

Safety Program for Surface Mobile Equipment

IC 249233 under ICR 202007-1219-005 · OMB 1219-0155.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0155 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7000-1 Safety Program for Surface Mobile Equipment	Form and Instruction
7000-1 Mine Accident, Injury and Illness Report 7000-1 Exp 2024.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report	Form and Instruction
7000-1 Mine Accident, Injury and Illness Report 7000-1 Exp 2024.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report	Form and Instruction

IC Title:

Safety Program for Surface Mobile Equipment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	7000-1	Mine Accident, Injury and Illness Report	7000-1 Exp 2024.pdf	https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title: Privacy Act Systems - DOL/MSHA-1

FR Citation: 81 FR 25769

Number of Respondents: 5,027

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,027	5,027
Annual IC Time Burden (Hours)	100,540	100,540
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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