Information Collection

Training Plan Regulations and Certificate of Training

IC 38514 under ICR 202502-1219-004 · OMB 1219-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5000-23 Certificate of Training Training Plan Regulations and Certificate of Training	Form and Instruction
elaws - MSHA Training Plan Advisor.pdf webapps.dol.gov/elaws/msha_train.htm	Instruction
Certificate of Training _ Mine Safety and Health Administration (MSHA).pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training	Other-Introduction and Instructions
5000-23 Certificate of Training MSHA_5000-23.pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training	Form and Instruction
MSHA - Program Policy Manual - Volume III.mht MSHA-Program Policy Manual-Volume III	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 48.23 30 CFR 48.29 30 CFR 48.3 30 CFR 48.9

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5000-23	https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training	Yes	Yes	Fillable Fileable
Instruction		https://webapps.dol.gov/elaws/msha_train.htm	Yes	No	Fillable Printable
Other-Introduction and Instructions		https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 65,494

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	130,055	130,055
Annual IC Time Burden (Hours)	12,434	12,434
Annual IC Cost Burden (Dollars)	394,856	394,856

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MSHA-Program Policy Manual-Volume III		05/09/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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