Information Collection Request

Respirable Coal Mine Dust Sampling

ICR 202503-1219-004 · OMB 1219-0011 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MSHA-NA Mine Operator Coal Dust Operator Data Card Form Modified Available
Form MSHA-NA Respirable Coal Mine Dust Sampling Form Modified Repair queued
1219-0011 Supporting Statement 2025.docx Supporting Statement A Uploaded 2025-07-29 Available
1219-0011 Supporting Statement 2025.docx Supporting Statement A Uploaded 2025-07-29 Repair queued
1219-0011 60-Day FRN Published 5-29-2025.pdf Supplementary Document Uploaded 2025-06-04 Available
1219-0011 60-Day FRN Published 5-29-2025.pdf Supplementary Document Uploaded 2025-06-04 Repair queued
Justification for Non-substantive Change for 1219-0011.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-06-03 Available
Justification for Non-substantive Change for 1219-0011.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-06-03 Repair queued
1219-0011 Change Request Justification Statement.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-10-05 Repair queued
1219-0011 Change Request Justification Statement.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-10-05 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43812 Respirable Coal Mine Dust Sampling Form ModifiedMine Operator Coal Dust Operator Data Card
43812 Respirable Coal Mine Dust Sampling Form Modified
43812 Respirable Coal Mine Dust Sampling Other-Electronic Mine Operator Dust Data Card Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2028 36 Months From Approved 11/30/2025
989,403 0 995,102
69,765 0 58,259
29,813 0 29,835





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table that charts list of burden
IC Title Form No. Form Name
Respirable Coal Mine Dust Sampling MSHA-NA

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 989,403 995,102 0 0 -5,699 0
Annual Time Burden (Hours) 69,765 58,259 0 0 11,506 0
Annual Cost Burden (Dollars) 29,813 29,835 0 0 -22 0


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