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Federal forms, ICRs, and supporting documents

Information Collection Request

Qualification/Certification Program Request for Mine Safety and Health Administration Individual Identification Number

ICR 201611-1219-003 · OMB 1219-0143 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 5000-46 Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals Form and Instruction Modified Available
Form 5000-46 Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector Form and Instruction Modified Available
SORN MSHA DOL Vol 67 FR No 67 April 8 2002 p 16816.pdf Supplementary Document Uploaded 2014-02-12 Repair queued
1219-0143 Supporting Statement 3-28-17.doc Supporting Statement A Uploaded 2017-03-29 Repair queued
1219-0143 PUBLISHED 60 DAY FRN 12-27-16 v81 95199.pdf Supplementary Document Uploaded 2017-03-10 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
210355 Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals Form and Instruction Modified
181962 Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Private Sector Form and Instruction Modified
ICR Details
1219-0143 201611-1219-003
Historical Active 201401-1219-001
DOL/MSHA
Qualification/Certification Program Request for Mine Safety and Health Administration Individual Identification Number
Extension without change of a currently approved collection   No
Regular
Approved without change 07/14/2017
Retrieve Notice of Action (NOA) 05/15/2017
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved 07/31/2017
9,000 0 16,000
750 0 1,333
85 0 58,827
MSHA issues certifications, qualifications and approvals to the nation's miners to conduct specific work within the mines. Miners requiring qualification or certification from MSHA will register for an "MSHA Individual Identification Number" (MIIN). MSHA uses this unique number in place of individual SSNs for all MSHA collections. The MIIN identifier fulfills Executive Order 13402, Strengthening Federal Efforts Against Identity Theft, which requires Federal agencies to better secure government held data.
US Code: 30 USC 811(a) Name of Law: Federal Mine Safety & Health Act of 1977
   US Code: 30 USC 813(h) Name of Law: Federal Mine Safety & Health Act of 1977
   US Code: 31 USC 7701(c)(2)(B) Name of Law: Taxpayer Identifying Number
  
None
Not associated with rulemaking
  81 FR 95199 12/27/2016
82 FR 22354 05/15/2017
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 9,000 16,000 0 0 -7,000 0
Annual Time Burden (Hours) 750 1,333 0 0 -583 0
Annual Cost Burden (Dollars) 85 58,827 0 0 -58,742 0
No
No
Burden hours and costs decreased due to estimated decreases in respondents. The burden cost decrease is also because 98% of the MIIN requests are processed using the electronic collection source. This method decreases the wage cost along with the mailing cost.
$76,121
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.
05/15/2017