Radiation Sampling and Exposure Records

OMB 1219-0003

MSHA is required to-issue regulations requiring operators to maintain accurate records of employee exposures to potentially toxic materials or harmful physical agents which are required to be monitored or measured under any applicable mandatory health or safety standard promulgated under this Act. Airborne radon and radon daughters exist in every uranium mine and in several other underground mining commodities. Radon is radioactive gas. It diffuses into the underground mine atmosphere through the rock and the ground water. Radon decays in a series of steps into other radioactive elements, which are solids, called radon daughters. Radon and radon daughters are invisible and odorless. Decay of radon and its daughters results in emissions of alpha energy.

The latest form for Radiation Sampling and Exposure Records expires 2023-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form MSHA 4000-9 Radiation Sampling and Exposure Records Form and Instruction
1219-0003 Published 60 Day FRN 3-21-2023.pdf Supplementary Document
1219-0003 Supporting Statement 2023.docx Supporting Statement A
Radiation Sampling and Exposure Records Form and Instruction

All Historical Document Collections

202303-1219-001 Approved with change	Extension without change of a currently approved collection	2023-09-01
202002-1219-005 Approved without change	Extension without change of a currently approved collection	2020-06-23
201612-1219-004 Approved without change	Extension without change of a currently approved collection	2017-04-21
201402-1219-002 Approved without change	Extension without change of a currently approved collection	2014-04-14
201102-1219-002 Approved without change	Revision of a currently approved collection	2011-02-28
200710-1219-002 Approved without change	Extension without change of a currently approved collection	2007-10-31
200409-1219-001 Approved without change	Extension without change of a currently approved collection	2004-09-03
200108-1219-004 Approved without change	Extension without change of a currently approved collection	2001-08-13
199810-1219-004 Approved without change	Extension without change of a currently approved collection	1998-10-30
199507-1219-002 Approved without change	Extension without change of a currently approved collection	1995-07-12
199208-1219-002 Approved without change	Revision of a currently approved collection	1992-08-12
199106-1219-001 Approved without change	Extension without change of a currently approved collection	1991-06-07
199009-1219-001 Approved without change	Revision of a currently approved collection	1990-09-17
198910-1219-018 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-10-01
198910-1219-012 Approved without change	Revision of a currently approved collection	1989-10-25
198908-1219-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-08-02
198806-1219-001 Approved without change	Revision of a currently approved collection	1988-06-27
198709-1219-002 Approved without change	Revision of a currently approved collection	1987-09-28
198701-1219-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-01-07
198701-1219-005 Approved without change	Revision of a currently approved collection	1987-01-29
198606-1219-006 Approved without change	Revision of a currently approved collection	1986-06-20
198504-1219-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-04-15
198410-1219-022 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-10-01
198309-1219-001 Approved without change	Revision of a currently approved collection	1983-09-13
198307-1219-002 Approved without change	Revision of a currently approved collection	1983-07-29
198201-1219-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-01-20
198107-1219-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-29
197906-1219-001 Approved without change	Reinstatement with change of a previously approved collection	1979-06-29
197812-1219-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1978-12-31
197812-1219-001 Approved without change	Reinstatement with change of a previously approved collection	1978-12-31
197506-1219-001 Approved without change	New collection (Request for a new OMB Control Number)	1975-06-23