MSHA State Grants Demographic Information Progress Report

Demographic Information Collection for MSHA Grants

Documents and Forms

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

Information Collection (IC) Details

IC Title:	MSHA State Grants Demographic Information Progress Report	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.