Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 5000-3 Certificate of Physical Qualification for Mine Rescue Work	Form	Modified	Available
Form MSHA Form 2000-224 Operator’s Annual Certification of Mine Rescue Team Qualifications	Form and Instruction	Modified	Available
Justification for No Material and Non substantive Change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-05	Repair queued
1219-0144 Supporting Statement 2023.docx	Supporting Statement A	Uploaded 2023-05-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
208447	Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements	Form	Modified	Certificate of Physical Qualification for Mine Rescue Work
208447	Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements	Form and Instruction	Modified	Operator’s Annual Certification of Mine Rescue Team Qualifications
208447	Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements	Instruction	Modified

ICR Details

OMB Control No: 1219-0144	ICR Reference No: 202502-1219-010
Status: Historical Active	Previous ICR Reference No: 202301-1219-001
Agency/Subagency: DOL/MSHA	Agency Tracking No:
Title: Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/07/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/07/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2026	07/31/2026	07/31/2026
Responses	30,436	0	30,436
Time Burden (Hours)	5,106	0	5,106
Cost Burden (Dollars)	265	0	265

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Abstract: OMB No. 1219-0144 and 1219-0078 (Expiring 2/29/2020) are being combined into 1219-0144 only. The 5000-3 Form, which currently belongs to both OMB No.’s, will then cover one OMB No. only after this combination occurs. The respondents for the paperwork provisions of this rule are underground mine operators. The records will be used by mine operators, supervisors, and employees, and State and Federal mine inspectors to provide assurance that each mine operator and mine rescue team is prepared for a mine emergency. The records show that the mine rescue team equipment has been examined and tested and is in good working order. The training records show that the mine rescue team members and the responsible persons at the mine are competent to respond to a mine emergency involving a fire, an explosion, or a gas or water inundation. The records greatly assist those who use them in making decisions that will ultimately affect the safety of all persons working underground. These information collection requirements help assure that properly trained mine rescue teams are readily available to save endangered miners in life-threatening situations. In addition, the training requirements in this information collection will help assure the safety of the mine rescue team itself.

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Authorizing Statute(s): US Code: 30 USC 813(h) Name of Law: Federal Mine Safety and Health Act of 1977
   US Code: 30 USC 811 Name of Law: Federal Mine Safety and Health Act of 1977
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 2134	01/12/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 35931	06/01/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements	MSHA Form 2000-224, 5000-3	Operator’s Annual Certification of Mine Rescue Team Qualifications ,   Certificate of Physical Qualification for Mine Rescue Work

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ICR Summary of Burden

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	30,436	30,436	0	0	0	0
Annual Time Burden (Hours)	5,106	5,106	0	0	0	0
Annual Cost Burden (Dollars)	265	265	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Respondents: The number of respondents decreased from 403 to 362 due to the decline of the number of coal mines. Responses: The number of responses decreased from 40,176 to 30,436 due to the decline in the number of respondents in coal mines and updated assumptions for MNM mines. Burden Hours: The number of burden hours decreased from 12,603 to 5,106 due to the decreases in responses. Recordkeeping Costs: The estimated annual cost decreased from $1,980,169 to $265 due to changes in the assumptions of relevant cost components for recordkeeping.

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Annual Cost to Federal Government: $24,743

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/07/2025

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