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Federal forms, ICRs, and supporting documents

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
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Information Collection (IC) Details

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Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report
 
No Modified
 
Mandatory
 
30 CFR 50.10 30 CFR 50.20 30 CFR 50.30 30 CFR 50.40 30 CFR 50.11

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 7000-1 Mine Accident, Injury and Illness Report MSHA_7000-1.pdf https://www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf Yes Yes Fillable Fileable
Form 7000-2 Quarterly Mine Employment and Coal Production Report MSHA_7000-2.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production Yes Yes Fillable Printable
Instruction Mine Accident, Injury and Illness Report _ Mine Safety and Health Administration (MSHA).pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report Yes Yes Fillable Fileable
Instruction Quarterly Mine Employment and Coal Production Report _ Mine Safety and Health Administration (MSHA).pdf 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 Mine Accident Injury and Illness Report Screen Shots MSHA Form 7000-1 2020.docx 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 Quarterly Mine Employment and Coal Production Screen Shots MSHA Form 7000-2 2020.docx 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 Mine Accident, Injury and Illness Report MSHA_7000-1(Spanish).pdf https://www.msha.gov/sites/default/files/Support_Resources/Forms/7000-1.pdf Yes Yes Fillable Fileable

Workforce Management Worker Safety

Privacy Act Systems - DOL/MSHA-1  81 FR 25766

20,953 0
   
Private Sector Businesses or other for-profits
 
   80 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 98,389 0 0 0 0 98,389
Annual IC Time Burden (Hours) 117,903 0 0 0 0 117,903
Annual IC Cost Burden (Dollars) 3,009 0 0 0 0 3,009

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