OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

REPORT OF EMERGENCY MEDICAL ASSISTANCE AND TRANSPORTATION OF INJURED PERSONS

ICR 198111-1219-026 · OMB 1219-0036 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
123111 REPORT OF EMERGENCY MEDICAL ASSISTANCE AND TRANSPORTATION OF INJURED PERSONS Form Migrated
ICR Details
1219-0036 198111-1219-026
Historical Active
DOL/MSHA
REPORT OF EMERGENCY MEDICAL ASSISTANCE AND TRANSPORTATION OF INJURED PERSONS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/29/1981
Retrieve Notice of Action (NOA) 11/20/1981
  Inventory as of this Action Requested Previously Approved
08/31/1982 08/31/1982
1,827 0 0
457 0 0
0 0 0
REQUIRES EACH OPERATOR TO REPOT TO MSHA THEIR ARRANGEMENS FOR EMERGENCY MEDICAL ASSISTANC AND TRANSPORTATION FOR PERSONS INJURED AT THE MINE. AUTHORITY ESTABLISHED BY P.L. 95-164.
None
None
No
1
IC Title Form No. Form Name
REPORT OF EMERGENCY MEDICAL ASSISTANCE AND TRANSPORTATION OF INJURED PERSONS MSHA-206
  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 1,827 0 0 0 1,827 0
Annual Time Burden (Hours) 457 0 0 0 457 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/20/1981