Safety Program for Surface Mobile Equipment

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.