Information Collection Request

Respirable Coal Mine Dust Sampling

ICR 202405-1219-002 · OMB 1219-0011 · Historical Active

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
Justification for Non-substantive Change for 1219-0011.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-06-03 Available
1219-0011 Supporting Statement 2024.docx Supporting Statement A Uploaded 2024-05-29 Available
1219-0011 Supporting Statement 2024.docx Supporting Statement A Uploaded 2024-05-29 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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table that charts list of burden
IC Title Form No. Form Name
Respirable Coal Mine Dust Sampling MSHA-NA

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 995,102 995,102 0 0 0 0
Annual Time Burden (Hours) 58,259 58,259 0 0 0 0
Annual Cost Burden (Dollars) 29,835 29,835 0 0 0 0


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