Information Collection

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

IC 14331 under ICR 199712-1219-003 · OMB 1219-0001.

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Information Collection (IC) Details

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IC Title:	Certificate of Electrical/Noise Training -- 30 CFR 70-504-1, 70-504-2, 71.801, 75.153(a)(2), and 77.103(a)(2))	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	MSHA5000-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,800	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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,800	-2,600	0	6,400
Annual IC Time Burden (Hours)	16,584	16,456	0	128
Annual IC Cost Burden (Dollars)	389,000	0	389,000	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.