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Federal forms, ICRs, and supporting documents

Information Collection Request

CERTIFICATE OF ELECTRICAL/NOISE TRAINING (30 CFR 70.504, 70.504-1, 70.801, 75.153, AND 77.103)

ICR 198409-1219-007 · OMB 1219-0001 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
168640 CERTIFICATE OF ELECTRICAL/NOISE TRAINING (30 CFR 70.504, 70.504-1, 70.801, 75.153, AND 77.103) Form Migrated
ICR Details
1219-0001 198409-1219-007
Historical Active 198306-1219-002
DOL/MSHA
CERTIFICATE OF ELECTRICAL/NOISE TRAINING (30 CFR 70.504, 70.504-1, 70.801, 75.153, AND 77.103)
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/05/1984
Approved with change 09/05/1984
Retrieve Notice of Action (NOA) 09/05/1984
  Inventory as of this Action Requested Previously Approved
04/30/1986 04/30/1986 04/30/1986
24,000 0 24,000
480 0 528
0 0 0
MSHA CERTIFIES MINERS AS QUALIFIED TO PERFORM CERTAIN DUTIES IN MINES. FORM 5000-1 IS USED BY COURSE INSTRUCTORS TO REPORT TO MSHA FOR CERTIDICATION THE NAMES OF THOSE MINERS WHO HAVE SATISFACTORILY COMPLETED ELECTRICAL AND NOISE TRAINING PROGRAMS.
None
None
No
1
IC Title Form No. Form Name
CERTIFICATE OF ELECTRICAL/NOISE TRAINING (30 CFR 70.504, 70.504-1, 70.801, 75.153, AND 77.103) MSHA, 5000-1
  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 24,000 24,000 0 0 0 0
Annual Time Burden (Hours) 480 528 0 0 -48 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.
09/05/1984