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Federal forms, ICRs, and supporting documents

Information Collection Request

Certificate of Electrical Training and Applications for Mine Safety and Health Administration Approved Tests and State Tests Administered as Part of a Mine Safety and Health Admin. Approved Program

ICR 201304-1219-001 · OMB 1219-0001 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form MSHA Form 5000-1 Certificate of Electrical Training (State Grantees) Form and Instruction Modified Available
Form MSHA Form 5000-1 Mined-based Certificate of Electrical Training (Contractor Instructors) Form Removed Repair queued
Form MSHA Form 5000-1 Certificate of Electrical Training (instructors and contractors) Form and Instruction Modified Repair queued
5000-1 Intro Screen Shot.pdf Supplementary Document Uploaded 2013-09-03 Repair queued
1219-0001 Supporting Statement for ROCIS 2013.docx Supporting Statement A Uploaded 2013-09-04 Repair queued
1219-0001 PUBLISHED FRN 5-31-13.pdf Supplementary Document Uploaded 2013-07-31 Available
IC Document Collections
IC IDCollectionTypeStatusForm
208114 Evidence of Eligibility New
192599 Certificate of Electrical Training (State Grantees) Form and Instruction Modified
192598 Mined-based Certificate of Electrical Training (Contractor Instructors) Form Removed
14333 Certificate of Electrical Training (instructors and contractors) Form and Instruction Modified
ICR Details
1219-0001 201304-1219-001
Historical Active 201003-1219-011
DOL/MSHA
Certificate of Electrical Training and Applications for Mine Safety and Health Administration Approved Tests and State Tests Administered as Part of a Mine Safety and Health Admin. Approved Program
Revision of a currently approved collection   No
Regular
Approved without change 10/31/2013
Retrieve Notice of Action (NOA) 09/23/2013
  Inventory as of this Action Requested Previously Approved
10/31/2016 36 Months From Approved 10/31/2013
2,350 0 2,796
995 0 890
731 0 29,483
MSHA's Form 5000-1, "Certificate of Electrical Training," is required to be used by instructors for reporting to MSHA the qualification of those persons who have satisfactorily completed a coal mine electrical training program course. The Agency is also requesting approval for applications for MSHA approved tests and for State tests that are administered as part of an MSHA-approved State program.
PL: Pub.L. 91 - 173 101(a); 103(a)(2); 305(g) Name of Law: Federal Mine Safety and Health Act of 1977
  
None
Not associated with rulemaking
  78 FR 32691 05/31/2013
78 FR 58349 09/23/2013
Yes
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,350 2,796 0 200 -646 0
Annual Time Burden (Hours) 995 890 0 100 5 0
Annual Cost Burden (Dollars) 731 29,483 0 0 -28,752 0
Yes
Miscellaneous Actions
No
Cost to Respondents: Although wages and postage rates have increased since Fiscal Year 2009, the ability to submit evidence of this training electronically has resulted in a decrease in the annual cost burden described in Item 13 ($28,852 to $731). Burden hours: There was an increase in burden hours (890 to 995). This increase relates to the requirement that new applicants submit evidence of one year of experience in performing electrical work which added 100 burden hours. Respondents: There was a decrease related to how respondents were counted. Previously each course was counted as both a response and a respondent. There are not as many instructors as there are responses. Also additional respondents were added to account for the evidence of eligibility requirement. Responses: There was a decrease in responses from 2,796 to 2,350 due to a decrease in the estimate of MSHA Form 5000-1's that are filled out.
$54,045
No
No
No
No
No
Uncollected
Nicole Bouchet 202 646-2814 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/23/2013