Information Collection

MSHA Performance Report Narratives and MSHA Form 5000-50, MSHA State Grant Program Performance Report

IC 228996 under ICR 202502-1219-011 · OMB 1219-0154.

Documents and Forms

Document Name Document Type
Form 5000-50 MSHA State Grant Program Performance Report MSHA Performance Report Narratives and MSHA Form 5000-50, MSHA State Grant Program Performance Report Form
5000-50 MSHA State Grant Program Performance Report MSHA_5000-50.pdf www.msha.gov/training-education/training-programs-courses Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MSHA Performance Report Narratives and MSHA Form 5000-50, MSHA State Grant Program Performance Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5000-50	MSHA State Grant Program Performance Report	MSHA_5000-50.pdf	https://www.msha.gov/training-education/training-programs-courses	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 76	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	380	380
Annual IC Time Burden (Hours)	850	850
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].