Information Collection

Mine Accident, Injury And Illness Report (30 Cfr 50.20)

IC 122974 under ICR 199204-1219-003 · OMB 1219-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0007 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	MINE ACCIDENT, INJURY AND ILLNESS REPORT (30 CFR 50.20)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MSHA 7000-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30,485	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	56,759	-2,718	59,477
Annual IC Time Burden (Hours)	28,380	-1,358	29,738
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.