Information Collection

Mine Accident, Injury, and Illness Report -- 30 CFR 50.10; 50.11; and 50.20(a)

IC 14345 under ICR 199907-1219-002 · OMB 1219-0007.

⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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IC Title:	Mine Accident, Injury, and Illness Report -- 30 CFR 50.10; 50.11; and 50.20(a)	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	7000-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70,344	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	70,344	25,900	44,444
Annual IC Time Burden (Hours)	74,992	-5,072	80,064
Annual IC Cost Burden (Dollars)	19,000	-4,000	23,000

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.