Information Collection

Certificate of Electrical Training (30 CFR 75.153(a)(2) and 77.103(a)(2)

IC 14332 under ICR 200102-1219-001 · OMB 1219-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0001 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Certificate of Electrical Training (30 CFR 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	MSHA-5000-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,886	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	2,886	-914	3,800
Annual IC Time Burden (Hours)	13,297	-3,287	16,584
Annual IC Cost Burden (Dollars)	410,000	21,000	389,000

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.