Information Collection

Application for Waiver of Surface Sanitary Facilities Requirements (Pertaining to Coal Mines)

IC 14379 under ICR 202303-1219-002 · OMB 1219-0024.

Documents and Forms

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IC Title:

Application for Waiver of Surface Sanitary Facilities Requirements (Pertaining to Coal Mines)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 75.1712-4 30 CFR 75.1712-5 30 CFR 71.403 30 CFR 71.404

Information Collection Instruments:

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Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 186

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	186	-339	525
Annual IC Time Burden (Hours)	74	-158	232
Annual IC Cost Burden (Dollars)	930	-1,695	2,625

Documents for IC

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