OMB control number

Hazardous Conditions Complaints

OMB 1219-0014 ยท DOL/MSHA.

OMB 1219-0014

Under Section 103(g) of the Federal Mine Safety and Health Act of 1977, as amended (Mine Act), a representative of miners, or any individual miner where there is no representative of miners, may submit a written or oral notification of alleged violation or imminent danger of the Mine Act or a mandatory standard or of an imminent danger. The notifier has the right to obtain an immediate inspection by MSHA. A copy of the notice must be provided to the operator, with individual miner names redacted. MSHA regulations at 30 C.F.R. part 43 implement section 103(g) of the Mine Act. These regulations provide the procedures for submitting notification of the alleged violation and the actions that MSHA must take after receiving the notice. Although the regulations contain a review procedure (required by section 103(g)(2) of the Mine Act) whereby a miner or a representative of miners may in writing request a review if no citation or order is issued as a result of the original notice, the option is so rarely used that it was not considered in the burden estimates.

The latest form for Hazardous Conditions Complaints expires 2029-02-28 and is listed under ICR 202504-1219-001.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202504-1219-001 Extension without change of a currently approved collection 2026-01-05 Approved without change
202209-1219-001 Extension without change of a currently approved collection 2023-02-23 Approved without change
201910-1219-001 Extension without change of a currently approved collection 2020-01-22 Approved without change
201609-1219-001 Extension without change of a currently approved collection 2016-10-24 Approved without change
201309-1219-001 Extension without change of a currently approved collection 2013-11-21 Approved without change
201009-1219-002 Extension without change of a currently approved collection 2010-12-21 Approved without change
200707-1219-002 Extension without change of a currently approved collection 2007-08-08 Approved without change
200407-1219-001 Extension without change of a currently approved collection 2004-07-15 Approved without change
200108-1219-001 Extension without change of a currently approved collection 2001-08-13 Approved without change
199806-1219-001 Revision of a currently approved collection 1998-06-30 Approved without change
199505-1219-001 Extension without change of a currently approved collection 1995-05-11 Approved without change
199205-1219-002 Revision of a currently approved collection 1992-05-04 Approved without change
199110-1219-003 No material or nonsubstantive change to a currently approved collection 1991-10-24 Approved with change
198910-1219-036 No material or nonsubstantive change to a currently approved collection 1989-10-01 Approved with change
198905-1219-003 Revision of a currently approved collection 1989-05-26 Approved without change
198810-1219-009 No material or nonsubstantive change to a currently approved collection 1988-10-01 Approved with change
198708-1219-006 No material or nonsubstantive change to a currently approved collection 1987-08-04 Approved with change
198609-1219-015 No material or nonsubstantive change to a currently approved collection 1986-09-12 Approved with change
198606-1219-004 Revision of a currently approved collection 1986-06-19 Approved without change
198601-1219-028 No material or nonsubstantive change to a currently approved collection 1986-01-13 Approved with change
198410-1219-012 No material or nonsubstantive change to a currently approved collection 1984-10-01 Approved with change
198309-1219-004 Extension without change of a currently approved collection 1983-09-20 Approved without change
198305-1219-036 No material or nonsubstantive change to a currently approved collection 1983-05-27 Approved with change
198111-1219-004 New collection (Request for a new OMB Control Number) 1981-11-20 Approved without change