Information Collection

Respirable Coal Mine Dust Sampling

IC 43812 under ICR 201206-1219-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form MSHA-NA Respirable Coal Mine Dust Sampling Form
MSHA-NA Mine Operator Coal Dust Operator Data Card Front_and_Back_of_Dust_Data_card.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Respirable Coal Mine Dust Sampling	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 70.209(a), (c), (d) 30 CFR 71.201(c), (e) 30 CFR 90.201(c) 30 CFR 70.201(c) 30 CFR 70.205(c) 30 CFR 71.205(c) 30 CFR 90.205(c) 30 CFR 71.209(a), (c), (d) 30 CFR 70.210(b) 30 CFR 90.209(a), (c), (d) 30 CFR 71.210(b) 30 CFR 90.210(b) 30 CFR 70.220(a) 30 CFR 71.220(a) 30 CFR 90.220 30 CFR 71.300(a) 30 CFR 90.300(a) 30 CFR 71.301(d), (e) 30 CFR 90.301(d), (e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MSHA-NA	Mine Operator Coal Dust Operator Data Card	Front_and_Back_of_Dust_Data_card.pdf		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 780

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	63,193	22,193	41,000
Annual IC Time Burden (Hours)	8,571	-24,628	33,199
Annual IC Cost Burden (Dollars)	44,065	-3,795,649	3,839,714

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.