Information Collection

Training Plan Regulations and Certificate of Training

IC 38514 under ICR 200710-1219-001 · OMB 1219-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0009 can be found here:

Documents and Forms

Document Name Document Type
Form MSHA-5000-23 Training Plan Regulations and Certificate of Training Form
MSHA-5000-23 Certificate of Training 5000-23.pdf www.msha.gov/forms/elawsforms/5000-23.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Training Plan Regulations and Certificate of Training	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 48.3 30 CFR 48.9 30 CFR 48.23 30 CFR 48.29

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MSHA-5000-23	Certificate of Training	5000-23.pdf	http://www.msha.gov/forms/elawsforms/5000-23.htm	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,216	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	123,219	7,824	115,395
Annual IC Time Burden (Hours)	19,186	5,899	13,287
Annual IC Cost Burden (Dollars)	245,144	-765,856	1,011,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

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