Radiation Sampling and Exposure Records

ICR 202502-1219-002

OMB: 1219-0003

Federal Form Document

Forms and Documents

Document Name	Status
Form MSHA 4000-9 Radiation Sampling and Exposure Records Form and Instruction	Modified
Justification for No Material and Non substantive Change.docx Justification for No Material/Nonsubstantive Change	2025-03-05
1219-0003 Published 60 Day FRN 3-21-2023.pdf Supplementary Document	2023-08-28
1219-0003 Supporting Statement 2023.docx Supporting Statement A	2023-08-28

IC Document Collections

IC ID	Document Title	Status
14336	Radiation Sampling and Exposure Records Form and Instruction	Modified