Certificate of Electrical Training and Applications for MSHA Approved Tests and State Tests Administered as Part of an MSHA-approved State Program

ICR 202504-1219-004

OMB: 1219-0001

Federal Form Document

Forms and Documents

Document Name	Status
Form MSHA Form 5000-1 Certificate of Electrical Training (State Grantees) Form and Instruction	Removed
Form MSHA Form 5000-1 Certificate of Electrical Training (instructors and contractors) Form and Instruction	Modified
1219-0001 60-Day FRN Published 7-3-2025.pdf Supplementary Document	2025-09-03
1219-0001 Supporting Statement 2025.docx Supporting Statement A	2025-09-03

IC Document Collections

IC ID	Document Title	Status
208114	Evidence of Eligibility	Modified
192599	Certificate of Electrical Training (State Grantees) Form and Instruction	Removed
14333	Certificate of Electrical Training (instructors and contractors) Form and Instruction	Modified