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Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report
Mine Accident, Injury, and Illness Report and Quarterly Mine Employment and Coal Production Report
OMB: 1219-0007
IC ID: 14347
OMB.report
DOL/MSHA
OMB 1219-0007
ICR 202309-1219-002
IC 14347
( )
Documents and Forms
Document Name
Document Type
Form 7000-1
Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report
Form
Mine Accident, Injury and Illness Report _ Mine Safety and Health Administration (MSHA).pdf
www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report
Instruction
Mine Accident, Injury and Illness Report _ Mine Safety and Health Administration (MSHA).pdf
www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report
Instruction
Quarterly Mine Employment and Coal Production Report _ Mine Safety and Health Administration (MSHA).pdf
www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Instruction
Quarterly Mine Employment and Coal Production Report _ Mine Safety and Health Administration (MSHA).pdf
www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Instruction
7000-1 Mine Accident, Injury and Illness Report
7000-1 Exp 2024.pdf
www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf
Form
7000-1 Mine Accident, Injury and Illness Report
7000-1 Exp 2024.pdf
www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf
Form
7000-2 Quarterly Mine Employment and Coal Production Report
7000-2 exp 2024.pdf
www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Form
7000-2 Quarterly Mine Employment and Coal Production Report
7000-2 exp 2024.pdf
www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Form
7000-1 Mine Accident Injury and Illness Report
Screen Shots MSHA Form 7000-1 2020.docx
www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report
Form
7000-1 Mine Accident Injury and Illness Report
Screen Shots MSHA Form 7000-1 2020.docx
www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report
Form
7000-2 Quarterly Mine Employment and Coal Production
Screen Shots MSHA Form 7000-2 2020.docx
www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Form
7000-2 Quarterly Mine Employment and Coal Production
Screen Shots MSHA Form 7000-2 2020.docx
www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
30 CFR 50.30
30 CFR 50.40
30 CFR 50.11
30 CFR 50.10
30 CFR 50.20
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
7000-1
Mine Accident, Injury and Illness Report
7000-1 Exp 2024.pdf
https://www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf
Yes
Yes
Fillable Fileable
Form
7000-2
Quarterly Mine Employment and Coal Production Report
7000-2 exp 2024.pdf
https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Yes
Yes
Fillable Printable
Instruction
Mine Accident, Injury and Illness Report _ Mine Safety and Health Administration (MSHA).pdf
https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report
Yes
Yes
Fillable Fileable
Instruction
Quarterly Mine Employment and Coal Production Report _ Mine Safety and Health Administration (MSHA).pdf
https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Yes
Yes
Fillable Fileable
Form
7000-1
Mine Accident Injury and Illness Report
Screen Shots MSHA Form 7000-1 2020.docx
https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report
Yes
Yes
Fillable Fileable
Form
7000-2
Quarterly Mine Employment and Coal Production
Screen Shots MSHA Form 7000-2 2020.docx
https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
Privacy Act Systems - DOL/MSHA-1
FR Citation:
81 FR 25766
Number of Respondents:
20,953
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
80 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
98,389
0
0
-14,025
0
112,414
Annual IC Time Burden (Hours)
117,903
0
0
-13,728
0
131,631
Annual IC Cost Burden (Dollars)
3,009
0
0
63
0
2,946
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.