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Federal forms, ICRs, and supporting documents

Information Collection Request

CERTIFICATION/QUALIFICATION PROGRAM (30 CFR 75.100, 75.155, 77.100 AND 77.105)

ICR 198708-1219-020 · OMB 1219-0069 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
168865 CERTIFICATION/QUALIFICATION PROGRAM (30 CFR 75.100, 75.155, 77.100 AND 77.105) Form Migrated
ICR Details
1219-0069 198708-1219-020
Historical Active 198704-1219-002
DOL/MSHA
CERTIFICATION/QUALIFICATION PROGRAM (30 CFR 75.100, 75.155, 77.100 AND 77.105)
No material or nonsubstantive change to a currently approved collection   No
Emergency 08/04/1987
Approved with change 08/04/1987
Retrieve Notice of Action (NOA) 08/04/1987
  Inventory as of this Action Requested Previously Approved
08/31/1988 08/31/1988 08/31/1988
8,300 0 8,300
1,366 0 1,366
0 0 0
PROVIDES PROVISIONS WHEREBY PERSONS MAY BE TEMPORARILY QUALIFIED OR CERTIFIED TO PERFORM TESTS OR EXAMINATIONS AT COAL MINES WHICH ARE RELATED TO MINER SAFETY AND HEALT AND WHICH REQUIRE SPECIALIZED EXPERTISE.
None
None
No
1
IC Title Form No. Form Name
CERTIFICATION/QUALIFICATION PROGRAM (30 CFR 75.100, 75.155, 77.100 AND 77.105) MSHA 5000-4, 5000-7
  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 8,300 8,300 0 0 0 0
Annual Time Burden (Hours) 1,366 1,366 0 0 0 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.
08/04/1987