INTRO Electronic Mine Operator Dust Data Card 1219-0011

Electronic Mine Operator Dust Data Card | Mine Safety and Health Administration (MSHA)

T

R

UNITED STATES
DEPARTMENT OF LABOR
Mine Safety and Health Administration (MSHA)
ABOUT

NEWS & MEDIA

TRAINING & EDUCATION

MSHA HOME

DATA & REPORTS

REGULATIONS

Select Language
Select
Language
COMPLIANCE & ENFORCEMENT

SUPPORT & RESOURCES

ELECTRONIC MINE OPERATOR DUST DATA CARD

Electronic Mine Operator Dust Data Card
Form ID: N/A
Description: 
30 CFR Sections 70.210(a) and (c) and 71.207(a) and (c) require each Coal Mine Dust Personal Sampler
Unit (CMDPSU) sample to be transmitted to MSHA with a completed Dust Data Card.  MSHA requires a
Dust Data Card for every CMDPSU sample.   
Control ID: 1219-0011
Expiration Date: October 31, 2022
Contact Information: 
Questions regarding this form should be directed to MSHA at (877) 778-6055 or [email protected].
Privacy Notice: 
Privacy Notice
Legal Authority: 
30 CFR Sections 70.210(a) and (c) and 71.207(a) and (c)
Burden Statement: 
Public reporting burden for this form is estimated to average 7 minutes per response. The burden estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and submitting the form. This collection of information is mandatory and will be
retained for 1 year.  You are not required to respond to this collection of information unless it displays a valid
OMB control number. Send comments regarding the accuracy of the burden estimate and any suggestions

https://staging.msha.gov/support-resources/forms-online-filing/2020/10/01/electronic-mine-operator-dust-data-card[10/1/2020 10:04:02 AM]

Electronic Mine Operator Dust Data Card | Mine Safety and Health Administration (MSHA)

for reducing the burden to: to the Mine Safety and Health Administration, U.S. Department of Labor, Office
of Standards Regulations and Variances, 201 12th Street South, Suite 401 Arlington, VA 22202-5450,
Paperwork Reduction Project (1219- 0011). NOTE: Do not send your completed form to this address.
Online Filing: 
Electronic Mine Operator Dust Data Card

UNITED STATES
DEPARTMENT OF
LABOR

F

T

I

L

R

E

Mine Safety and Health

ABOUT THE SITE

LABOR DEPARTMENT

FEDERAL GOVERNMENT

Administration

Freedom of Information Act

A to Z Index

White House

201 12th St S

Paperwork Reduction Act

Agencies

Disaster Recovery Assistance

Records Retention Schedule

Contact Us

USA.gov

Help Desk

Emergency Accountability

No FEAR Act Data

Privacy & Security

Status Link

Accessibility & 508

Leadership Team

Compliance

Office of Inspector General

Disclaimers

Read The DOL Newsletter

Suite 401
Arlington, VA 22202-5450
www.msha.gov
TTY 202-693-9400

Subscribe to the DOL
Newsletter

https://staging.msha.gov/support-resources/forms-online-filing/2020/10/01/electronic-mine-operator-dust-data-card[10/1/2020 10:04:02 AM]