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Federal forms, ICRs, and supporting documents

Information Collection Request

Certificate of Electrical/Noise Training -- 30 CFR 70-504-1, 70-504-2, 71.801, 75.153(a)(2), and 77.103(a)(2))

ICR 199712-1219-003 · 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
14331 Certificate of Electrical/Noise Training -- 30 CFR 70-504-1, 70-504-2, 71.801, 75.153(a)(2), and 77.103(a)(2)) Form Migrated
ICR Details
1219-0001 199712-1219-003
Historical Active 199410-1219-001
DOL/MSHA
Certificate of Electrical/Noise Training -- 30 CFR 70-504-1, 70-504-2, 71.801, 75.153(a)(2), and 77.103(a)(2))
Extension without change of a currently approved collection   No
Regular
Approved without change 01/30/1998
Retrieve Notice of Action (NOA) 12/31/1997
  Inventory as of this Action Requested Previously Approved
04/30/2001 04/30/2001 01/31/1998
3,800 0 6,400
16,584 0 128
389,000 0 0
MSHA form 5000-1 is used by instructors to report to MSHA for certification those persons who have satisfactorily completed either a coal mine electrical training program or a noise training course.
None
None
No
1
IC Title Form No. Form Name
Certificate of Electrical/Noise Training -- 30 CFR 70-504-1, 70-504-2, 71.801, 75.153(a)(2), and 77.103(a)(2)) MSHA5000-1
  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 3,800 6,400 0 -2,600 0 0
Annual Time Burden (Hours) 16,584 128 0 16,456 0 0
Annual Cost Burden (Dollars) 389,000 0 0 0 389,000 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.
12/31/1997