Application for Waiver of Surface Sanitary Facilities’ Requirements (Pertaining to Coal Mines)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1219-0024 60-Day FRN Published 3-25-2026.pdf	Supplementary Document	Uploaded 2026-05-27	Repair queued
1219-0024 60-Day FRN Published 3-25-2026.pdf	Supplementary Document	Uploaded 2026-05-27	Available
1219-0024 Supporting Statement 2026.docx	Supporting Statement A	Uploaded 2026-05-27	Repair queued
1219-0024 Supporting Statement 2026.docx	Supporting Statement A	Uploaded 2026-05-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
14379	Application for Waiver of Surface Sanitary Facilities Requirements (Pertaining to Coal Mines)		Modified

ICR Details

OMB Control No: 1219-0024	ICR Reference No: 202512-1219-003
Status: Active	Previous ICR Reference No: 202303-1219-002
Agency/Subagency: DOL/MSHA	Agency Tracking No: 10/31/26 Exp
Title: Application for Waiver of Surface Sanitary Facilities’ Requirements (Pertaining to Coal Mines)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/05/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/26/2026
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2029	36 Months From Approved	10/31/2026
Responses	612	0	186
Time Burden (Hours)	86	0	74
Cost Burden (Dollars)	1,020	0	930

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Abstract: Title 30 CFR 71.400 through 71.402 and 75.1712-1 through 75.1712-3 require coal mine operators to provide bathing facilities, clothing change rooms, and sanitary flush toilet facilities in a location that is convenient for use of the miners. If the operator is unable to meet any or all requirements, he/she may apply for a waiver. Title 30 CFR 71.403, 71.404, 75.1712-4, and 75.1712-5 provide procedures by which an operator may apply for and be granted a waiver. Applications are filed with the District Manager for the district in which the mine is located and must contain the name and address of the mine operator, name and location of the mine, and a detailed statement of the grounds on which the waiver is requested.

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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:
	91 FR 14591	03/26/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 53652	08/19/2026
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
Application for Waiver of Surface Sanitary Facilities Requirements (Pertaining to Coal Mines)

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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	612	186	0	0	426	0
Annual Time Burden (Hours)	86	74	0	0	12	0
Annual Cost Burden (Dollars)	1,020	930	0	0	90	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: Number of Respondents: The number of respondents increased from 186 to 204 due to an increase in the number of coal mine operators applying for extensions of existing waivers. Number of Responses: The number of responses increased from 186 to 612 due to the increase in the number of coal mine operators applying for extensions of existing waivers. Annual Time Burden: The number of burden hours increased from 74 to 86 due to an increase in the number of responses. Annual Recordkeeping Costs: The estimated annual cost increased from $930 to $1,020 due to the increase in the number of responses.

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Annual Cost to Federal Government: $1,629

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: 08/26/2026

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