Information Collection

75.829 - Record and Countersigning

IC 192394 under ICR 201003-1219-009 · OMB 1219-0140.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	75.829 - Record and Countersigning	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 75.829

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: 8	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	691	691

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.