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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 201604-1219-003 · OMB 1219-0001 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form MSHA Form 5000-1 Certificate of Electrical Training (State Grantees) Form and Instruction Modified Repair queued
Form MSHA Form 5000-1 Certificate of Electrical Training (instructors and contractors) Form and Instruction Modified Available
1219-0001 PUBLISHED 60 Day FRN May 20 2016 V81 p 31968.pdf Supplementary Document Uploaded 2016-07-29 Repair queued
1219-0001 Supporting Statement 5-2016.docx Supporting Statement A Uploaded 2016-08-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
208114 Evidence of Eligibility Modified
192599 Certificate of Electrical Training (State Grantees) Form and Instruction Modified
14333 Certificate of Electrical Training (instructors and contractors) Form and Instruction Modified
ICR Details
1219-0001 201604-1219-003
Historical Active 201304-1219-001
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
Extension without change of a currently approved collection   No
Regular
Approved without change 11/07/2016
Retrieve Notice of Action (NOA) 08/31/2016
  Inventory as of this Action Requested Previously Approved
11/30/2019 36 Months From Approved 11/30/2016
1,414 0 2,350
599 0 995
274 0 731
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.
US Code: 30 USC 813(h), 103(h) Name of Law: Federal Mine Safety and Health Act of 1977
   US Code: 30 USC 811, 101(a) Name of Law: Federal Mine Safety and Health Act of 1977
  
None
Not associated with rulemaking
  81 FR 31968 05/20/2016
81 FR 60024 08/31/2016
No
  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 1,414 2,350 0 0 -936 0
Annual Time Burden (Hours) 599 995 0 0 -396 0
Annual Cost Burden (Dollars) 274 731 0 0 -457 0
No
No
Cost to Respondents: The increased ability for respondents to submit forms electronically has resulted in a decrease in the annual cost burden described in Item 13 from $731 to $274. Burden hours: There is a decrease in burden hours from 995 to 599. This decrease occurs due to the reduction in submissions by respondents. Respondents: There was a net increase in the number of total respondents from 273 to 289. This results from an increase in respondents from business, other for-profit, State, local, and tribal governments, that was offset somewhat by a decrease in respondents from individuals and households. Responses: There was a decrease in responses from 2,350 to 1,414 due to a decrease in the estimate of MSHA Form 5000-1’s that are filled out.
$36,700
No
No
No
No
No
Uncollected
Michelle McKnight 202 693-9466 [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.
08/31/2016