Information Collection

2025 Brookwood-Sago Mine Safety Grants Program

IC 277073 under ICR 202505-1225-001 · OMB 1225-0086.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Clean - CTS 62193 OSEC Approved Brookwood Sago_FOA (8.5.25).docx	Other-FOA
1225-0086 Brookwood-Sago Mini Supporting Statement.docx 2025 Brookwood-Sago Mine Safety Grants Program	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-FOA					Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2025 Brookwood-Sago Mine Safety Grants Program		08/14/2025

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

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