Information Collection

MSHA State Grants Demographic Information Progress Report

IC 266588 under ICR 202303-1219-007 · OMB 1219-0157.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MSHA Form xxxx MSHA State Grants Demographic Information Progress Report	Form
MSHA Form xxxx MSHA State Grant Demographic Information Progress Report MSHA State Grants Demographic Information Progress Report 4-5-2024.xlsx	Form
MSHA Form xxxx MSHA State Grant Demographic Information Progress Report MSHA State Grants Demographic Information Progress Report 2024-05-21.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: New

Obligation to Respond: Voluntary

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	MSHA Form xxxx	MSHA State Grant Demographic Information Progress Report	MSHA State Grants Demographic Information Progress Report 2024-05-21.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	280	280
Annual IC Time Burden (Hours)	560	560
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.