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

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

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

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:

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 %

	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

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.