Information Collection

Miner Operator Dust Cards

IC 43812 under ICR 200907-1219-001 · OMB 1219-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0011 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Miner Operator Dust Cards	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 70.209 30 CFR 71.209 30 CFR 90.209 30 CFR 70.201(c) 30 CFR 71.201(c) 30 CFR 90.201(c) 30 CFR 70.202(b) 30 CFR 71.202(b) 30 CFR 90.202(b) 30 CFR 70.210 30 CFR 71.210 30 CFR 70.220(a) 30 CFR 71.220(a) 30 CFR 90.220 30 CFR 71.300 30 CFR 71.301(d) 30 CFR 90.300 30 CFR 90.301(d) 30 CFR 70.204 30 CFR 71.204 30 CFR 90.204

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 830	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 16 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	41,000	-100	41,100
Annual IC Time Burden (Hours)	33,199	324	32,875
Annual IC Cost Burden (Dollars)	3,839,714	850,714	2,989,000

Documents for IC

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