OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

ANNUAL STATUS REPORT AND CERTIFICATION ON IMPOUNDMENTS (30 CFR 77.216-4)

ICR 198303-1219-002 · OMB 1219-0015 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
123017 ANNUAL STATUS REPORT AND CERTIFICATION ON IMPOUNDMENTS (30 CFR 77.216-4) Form Migrated
ICR Details
1219-0015 198303-1219-002
Historical Active 198111-1219-005
DOL/MSHA
ANNUAL STATUS REPORT AND CERTIFICATION ON IMPOUNDMENTS (30 CFR 77.216-4)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/11/1983
Retrieve Notice of Action (NOA) 03/04/1983
  Inventory as of this Action Requested Previously Approved
03/31/1986 03/31/1986
600 0 0
1,200 0 0
0 0 0
REQUIRES EACH OPERATOR TO SUBMIT AN ANNUAL STATUS REPORT AND CERTIFICATION OF IMPOUNDMENTS AND REFUSE PILES. THE INFORMATION IS USED AS AN ENFORCEMENT AND ADMINISTRATIVE TOOL. AUTHORITY ESTABLISHED BY P.L. 95-164.
None
None
No
1
IC Title Form No. Form Name
ANNUAL STATUS REPORT AND CERTIFICATION ON IMPOUNDMENTS (30 CFR 77.216-4) MSHA-211
  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 600 0 0 600 0 0
Annual Time Burden (Hours) 1,200 0 0 1,200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
03/04/1983