Form 5000-50 MSHA State Grant Program Performance Report

			Public reporting burden for this report is estimated to average 2.5 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the report. This collection of information is required to obtain or retain benefits. You are not required to respond to this collection of information unless it displays a valid OMB control number. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: to USDOL-Mine Safety and Health Administration, 201 12th Street South, Suite 4E401, Arlington, VA 22202-5452, Paperwork Reduction Project (1219-0154). NOTE: Do not send your completed form to this address.																													OMB No. 1219-0154 Exp. Date: 9-30-21 MSHA Form No. 5000-50
MSHA STATE GRANT PROGRAM
TECHNICAL PROGRESS REPORT
	STATE:
	Fiscal Year:
							1st QTR (OCT-DEC)						2nd QTR (JAN-MAR)						3rd QTR (APR-JUN)						4th QTR (JUL-SEP)						ANNUAL TOTALS (OCT-SEP)
	METRIC		DESCRIPTION		Projected Goal		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		% Met
	1		Number of trainers trained								0						0						0						0		0	0	0	0	0		0%
	2		Number of individuals provided with new miner training in Parts 46 and 48								0						0						0						0		0	0	0	0	0		0%
	3		Number of individuals provided with annual refresher training in Parts 46 and 48								0						0						0						0		0	0	0	0	0		0%
	4		Number of individuals trained in Parts 46 and 48 from mines with 5 or less miners								0						0						0						0		0	0	0	0	0		0%
																																Number Trained with 5 or Fewer			0
	5		Number trained as responsible persons								0						0						0						0		0	0	0	0	0		0%
	6		Number trained in Part 49 mine rescue								0						0						0						0		0	0	0	0	0		0%
	7		Cost ($) of equipment and supplies in support of mine rescue								$-						$-						$-						$-		$-	$-	$-	$-	$-
	8		Amount ($) expended in support of mine rescue events								$-						$-						$-						$-		$-	$-	$-	$-	$-
																																Total Mine Rescue Related Expenses			$-
	9		Cost of CPDM equipment and maintenance								0						0						0						0		0	0	0	0	0
	10		Number trained in certification or qualification programs								0						0						0						0		0	0	0	0	0		0%
	11		Number tested in certification or qualification programs								0						0						0						0		0	0	0	0	0		0%
																																Number Tested			0
	12		List of training materials created, to include target audience, goals and objectives				Comments:						Comments:						Comments:						Comments:						Comments:
	13		OTHER TRAINING (NOT REPORTED ABOVE)
									1st QTR (OCT-DEC)						2nd QTR (JAN-MAR)						3rd QTR (APR-JUN)						4th QTR (JUL-SEP)						ANNUAL TOTALS (OCT-SEP)
	METRIC		DESCRIPTION		Projected Goal		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		% Met
	1										0						0						0						0		0	0	0	0	0
	2										0						0						0						0		0	0	0	0	0
	3										0						0						0						0		0	0	0	0	0
	4										0						0						0						0		0	0	0	0	0
			COMMENTS				Comments:						Comments:						Comments:						Comments:						Comments:
			TOTALS				1st QTR (OCT-DEC)						2nd QTR (JAN-MAR)						3rd QTR (APR-JUN)						4th QTR (JUL-SEP)						ANNUAL TOTALS (OCT-SEP)
							COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL		COAL	MNM	CON	OTHER	TOTAL
							0	0	0	0	0		0	0	0	0	0		0	0	0	0	0		0	0	0	0	0		0	0	0	0	0
Public reporting burden for this form is estimated to average 2.5 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting the form. This collection of information is required to retain benefits. You are not required to respond to this collection of information unless it displays a valid OMB control number. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: to USDOL-Mine Safety and Health Administration, 201 12th Street South, Suite 4E401, Arlington, VA 22202-5452, Paperwork Reduction Project (1219-0154).