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Federal forms, ICRs, and supporting documents

Information Collection Request

Certification and Qualification to Examine, Test, Operate Hoists, and to Perform Other Duties

ICR 201708-1219-003 · OMB 1219-0127 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form MSHA Form 5000-41 Certification and Qualification to Examine, Test, Operate Hoists, and to Perform Other Duties Form Modified Available
1219-0127 60-Day FRN 2017.pdf Supplementary Document Uploaded 2017-09-27 Available
1219-0127 Supporting Statement 12-2017.docx Supporting Statement A Uploaded 2017-12-01 Available
IC Document Collections
IC IDCollectionTypeStatusForm
14507 Certification and Qualification to Examine, Test, Operate Hoists, and to Perform Other Duties Form Modified
ICR Details
1219-0127 201708-1219-003
Active 201406-1219-006
DOL/MSHA
Certification and Qualification to Examine, Test, Operate Hoists, and to Perform Other Duties
Extension without change of a currently approved collection   No
Regular
Approved without change 02/16/2018
Retrieve Notice of Action (NOA) 12/31/2017
  Inventory as of this Action Requested Previously Approved
02/28/2021 36 Months From Approved 02/28/2018
4,590 0 5,659
465 0 548
77 0 71
Pertains to certification of certain persons to perform specific exams and tests. Also contains procedures under which coal mine operators are required to maintain a list of certified and qualified persons, and to develop an approved training plan for hosting engineers or host men. 30 CFR 75.159 and 77.106 require coal mine operators to maintain a list of persons who are certified and those who are qualified to perform duties under Parts 75 and 77, such as conduct examinations for hazardous conditions, conduct tests for methane and oxygen deficiency, conduct tests of air flow, perform electrical work, repair energized surface high-voltage lines, and perform duties of hoisting engineer. The information collection is necessary to ensure that only persons who are properly trained and sufficiently experienced are permitted to perform these duties. Although MSHA does not specify a format for the recordkeeping, it normally consists of the names of the certified and qualified persons listed in two columns on a sheet of paper. One column is for certified persons and the other is for qualified persons.
US Code: 30 USC 813(h) Name of Law: Federal Mine Safety & Health Act of 1977
   US Code: 30 USC 811 Name of Law: Federal Mine Safety & Health Act of 1977
  
None
Not associated with rulemaking
  82 FR 34698 07/26/2017
82 FR 152 12/31/2017
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 4,590 5,659 0 0 -1,069 0
Annual Time Burden (Hours) 465 548 0 0 -83 0
Annual Cost Burden (Dollars) 77 71 0 0 6 0
No
No
The decrease in burden hours (from 548 to 465) is due to a decrease in the number of respondents (from 1,232 to 957) and responses (from 5,659 to 4,590). The increase in cost (from $71 to $77) is updated on the number of forms that need postage.
$0
No
    Yes
    Yes
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.
12/31/2017