Information Collection

30 CFR 250.1911(b) - Immediate supervisor conducts, signs and ensure everyone involved signs the JSA.

IC 192876 under ICR 201404-1014-003 · OMB 1014-0017.

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IC Title:	30 CFR 250.1911(b) - Immediate supervisor conducts, signs and ensure everyone involved signs the JSA.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1911(b)

Information Collection Instruments:

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

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 284,700	Number of Respondents for Small Entity: 199,290

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	284,700	284,700
Annual IC Time Burden (Hours)	52,195	52,195
Annual IC Cost Burden (Dollars)	0	0

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