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Federal forms, ICRs, and supporting documents

Information Collection Request

SAFETY DEFECT RECORD OF SELF-PROPELLED EQUIPMENT (55/56/57.9-1)

ICR 198404-1219-003 · OMB 1219-0089 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
168914 SAFETY DEFECT RECORD OF SELF-PROPELLED EQUIPMENT (55/56/57.9-1) Form Migrated
ICR Details
1219-0089 198404-1219-003
Historical Active 198308-1219-008
DOL/MSHA
SAFETY DEFECT RECORD OF SELF-PROPELLED EQUIPMENT (55/56/57.9-1)
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/18/1984
Approved with change 04/18/1984
Retrieve Notice of Action (NOA) 04/18/1984
  Inventory as of this Action Requested Previously Approved
09/30/1984 09/30/1984 09/30/1984
1,443,000 0 13,900,000
120,250 0 2,548,334
0 0 0
REQUIRES OPERATOR BEFORE PLACING SELF-PROPELLED EQUIPMENT INTO OPERATION TO MAKE A VISUAL AND OPERATIONAL CHECK OF VARIOUS PRIMARY OPERATING SYSTEMS AFFECTING SAFETY, I.E., BRAKES, LIGHTS, TIRES, STEERING, AND RELATED ITEMS. ANY SAFETY DEFECTS FOUND ARE REPORTED TO THE RESPONSIBLE SUPERVISOR WHO IS REQUIRED TO MAKE A RECORD OF THE REPORTED DEFECTS AND SCHEDULE REPAIRS OF SAME.
None
None
No
1
IC Title Form No. Form Name
SAFETY DEFECT RECORD OF SELF-PROPELLED EQUIPMENT (55/56/57.9-1) MSHA-422R
  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 1,443,000 13,900,000 0 0 -12,457,000 0
Annual Time Burden (Hours) 120,250 2,548,334 0 0 -2,428,084 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.
04/18/1984