Information Collection

Record of Results of Examinations of Self-Rescuers, Underground Coal Mines -- 30 CFR 75.1714-3(e)

IC 14409 under ICR 199808-1219-005 · OMB 1219-0044.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0044 can be found here:

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Information Collection (IC) Details

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IC Title:	Record of Results of Examinations of Self-Rescuers, Underground Coal Mines -- 30 CFR 75.1714-3(e)	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	4,000	-1,136	5,136
Annual IC Time Burden (Hours)	2,000	1,581	419
Annual IC Cost Burden (Dollars)	86,000	86,000	0

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