Information Collection Request

Respirable Coal Mine Dust Sampling

ICR 202405-1219-001 · OMB 1219-0011 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MSHA-NA Mine Operator Coal Dust Operator Data Card Form Unchanged Available
Form MSHA-NA Respirable Coal Mine Dust Sampling Form Unchanged Repair queued
1219-0011 Supporting Statement 2022.docx Supporting Statement A Uploaded 2022-09-19 Available
1219-0011 Supporting Statement 2022.docx Supporting Statement A Uploaded 2022-09-19 Repair queued
1219-0011 60-Day FRN 5-23-2022.pdf Supplementary Document Uploaded 2022-07-22 Available
1219-0011 60-Day FRN 5-23-2022.pdf Supplementary Document Uploaded 2022-07-22 Repair queued
1219-0011 Change Request Justification Statement.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-10-05 Available
1219-0011 Change Request Justification Statement.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-10-05 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43812 Respirable Coal Mine Dust Sampling Other-Electronic Mine Operator Dust Data Card Unchanged
43812 Respirable Coal Mine Dust Sampling Form UnchangedMine Operator Coal Dust Operator Data Card
43812 Respirable Coal Mine Dust Sampling Form Unchanged

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2025 10/31/2025 10/31/2025
995,102 0 995,102
58,259 0 58,259
29,835 0 29,835





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IC Title Form No. Form Name
Respirable Coal Mine Dust Sampling MSHA-NA



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