OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Radiation Sampling and Exposure Records

OMB 1219-0003 ยท DOL/MSHA.

OMB 1219-0003

MSHA regulations require 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 2029-10-31 and is listed under ICR 202512-1219-002.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form MSHA 4000-9 Record of Individual Exposure to Radon DaughtersForm and Instruction
1219-0003 60-Day FRN Published 3-25-2026.pdfSupplementary Document
1219-0003 Supporting Statement 2026.docxSupporting Statement A
Radiation Sampling and Exposure Records Form and Instruction
Radiation Sampling and Exposure Records Form and Instruction
Radiation Sampling and Exposure Records Other-Print to View PDF of MSHA Form 4000-9

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202512-1219-002 Extension without change of a currently approved collection 2026-08-26
202502-1219-002 No material or nonsubstantive change to a currently approved collection 2025-04-07 Approved without change
202303-1219-001 Extension without change of a currently approved collection 2023-09-01 Approved with change
202002-1219-005 Extension without change of a currently approved collection 2020-06-23 Approved without change
201612-1219-004 Extension without change of a currently approved collection 2017-04-21 Approved without change
201402-1219-002 Extension without change of a currently approved collection 2014-04-14 Approved without change
201102-1219-002 Revision of a currently approved collection 2011-02-28 Approved without change
200710-1219-002 Extension without change of a currently approved collection 2007-10-31 Approved without change
200409-1219-001 Extension without change of a currently approved collection 2004-09-03 Approved without change
200108-1219-004 Extension without change of a currently approved collection 2001-08-13 Approved without change
199810-1219-004 Extension without change of a currently approved collection 1998-10-30 Approved without change
199507-1219-002 Extension without change of a currently approved collection 1995-07-12 Approved without change
199208-1219-002 Revision of a currently approved collection 1992-08-12 Approved without change
199106-1219-001 Extension without change of a currently approved collection 1991-06-07 Approved without change
199009-1219-001 Revision of a currently approved collection 1990-09-17 Approved without change
198910-1219-018 No material or nonsubstantive change to a currently approved collection 1989-10-01 Approved with change
198910-1219-012 Revision of a currently approved collection 1989-10-25 Approved without change
198908-1219-004 No material or nonsubstantive change to a currently approved collection 1989-08-02 Approved with change
198806-1219-001 Revision of a currently approved collection 1988-06-27 Approved without change
198709-1219-002 Revision of a currently approved collection 1987-09-28 Approved without change
198701-1219-009 No material or nonsubstantive change to a currently approved collection 1987-01-07 Approved with change
198701-1219-005 Revision of a currently approved collection 1987-01-29 Approved without change
198606-1219-006 Revision of a currently approved collection 1986-06-20 Approved without change
198504-1219-010 No material or nonsubstantive change to a currently approved collection 1985-04-15 Approved with change
198410-1219-022 No material or nonsubstantive change to a currently approved collection 1984-10-01 Approved with change
198309-1219-001 Revision of a currently approved collection 1983-09-13 Approved without change
198307-1219-002 Revision of a currently approved collection 1983-07-29 Approved without change
198201-1219-004 No material or nonsubstantive change to a currently approved collection 1982-01-20 Approved with change
198107-1219-003 No material or nonsubstantive change to a currently approved collection 1981-07-29 Approved with change
197906-1219-001 Reinstatement with change of a previously approved collection 1979-06-29 Approved without change
197812-1219-002 No material or nonsubstantive change to a currently approved collection 1978-12-31 Approved with change
197812-1219-001 Reinstatement with change of a previously approved collection 1978-12-31 Approved without change
197506-1219-001 New collection (Request for a new OMB Control Number) 1975-06-23 Approved without change