Information Collection

Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report

IC 14347 under ICR 202502-1219-003 · OMB 1219-0007.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 7000-1 Mine Accident, Injury and Illness Report Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report	Form
Form 7000-2 Quarterly Mine Employment and Coal Production Report Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report	Form
Form 7000-1 Mine Accident Injury and Illness Report Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report	Form
Form 7000-2 Quarterly Mine Employment and Coal Production Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report	Form
Form 7000-1 Mine Accident, Injury and Illness Report 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
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 MSHA_7000-1.pdf www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf	Form
7000-2 Quarterly Mine Employment and Coal Production Report MSHA_7000-2.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
7000-2 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
7000-1 Mine Accident, Injury and Illness Report MSHA_7000-1(Spanish).pdf www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf	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 50.10 30 CFR 50.20 30 CFR 50.30 30 CFR 50.40 30 CFR 50.11

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	7000-1	https://www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf	Yes	Yes	Fillable Fileable
Form	7000-2	https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production	Yes	Yes	Fillable Printable
Instruction		https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report	Yes	Yes	Fillable Fileable
Instruction		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	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	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	https://www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf	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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	98,389	98,389
Annual IC Time Burden (Hours)	117,903	117,903
Annual IC Cost Burden (Dollars)	3,009	3,009

Documents for IC

table that charts IC Documents
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.

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