Information Collection

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

IC 38510 under ICR 200308-1219-011 · OMB 1219-0007.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Mine Accident, Injury & Illness Report (30 CFR 50.10; 50.11, & 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	MSHA-7000-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28,778	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	144,382	86,158	58,224
Annual IC Time Burden (Hours)	90,978	41,155	49,823
Annual IC Cost Burden (Dollars)	40,000	27,000	13,000

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.