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Federal forms, ICRs, and supporting documents

Information Collection Request

Mine Accident, Injury, and Illness Report and Quarterly Mine Employment and Coal Production Report

ICR 201708-1219-005 · OMB 1219-0007 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 7000-1 Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report Form Modified Available
AccidentInjuryIllness EGOV Complete Instruction Guidev2.doc Supplementary Document Uploaded 2014-07-10 Available
EGOV New User Registration.pdf Supplementary Document Uploaded 2014-07-10 Repair queued
EGOV Online Filing 7000-2 Form.pdf Supplementary Document Uploaded 2014-07-10 Repair queued
1219-0007 Supporting Statement 9-2017.docx Supporting Statement A Uploaded 2017-09-25 Available
MSHA-2017-0016-0001.pdf Supplementary Document Uploaded 2017-08-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
14347 Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report Form Modified
ICR Details
1219-0007 201708-1219-005
Active 201511-1219-001
DOL/MSHA
Mine Accident, Injury, and Illness Report and Quarterly Mine Employment and Coal Production Report
Extension without change of a currently approved collection   No
Regular
Approved with change 01/18/2018
Retrieve Notice of Action (NOA) 09/29/2017
  Inventory as of this Action Requested Previously Approved
01/31/2021 36 Months From Approved 01/31/2018
118,417 0 132,179
162,326 0 180,535
2,847 0 5,706
The reporting and recordkeeping provisions in 30 CFR part 50, Notification, Investigation, Reports and Records of Accidents, Injuries and Illnesses, Employment and Coal Production in Mines, are essential elements in MSHA's Congressional mandate to reduce work-related injuries and illnesses among the nation's miners.
US Code: 30 USC 813(h) Name of Law: Federal Mine Safety and Health Act of 1977
   US Code: 30 USC 811 Name of Law: Federal Mine Safety and Health Act of 1977
  
None
Not associated with rulemaking
  82 FR 27727 06/16/2017
82 FR 45877 09/29/2017
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 118,417 132,179 0 0 -13,762 0
Annual Time Burden (Hours) 162,326 180,535 0 0 -18,209 0
Annual Cost Burden (Dollars) 2,847 5,706 0 0 -2,859 0
No
No
MSHA has made no program changes. There was a small change in the estimated number of respondents, decreasing from 27,910 to 24,958. The number of responses and hours have decreased as well: • Responses have decreased from 132,179 to 118,417. • Hours have decreased from 180,535 to 162,326. • Cost burden to respondents or record keepers has decreased from $5,706 to $2,847. The number of mines decreased, and there were less accidents, illnesses, and injuries. Response times remained the same, but the number of accidents, illnesses, and injuries reported decreased since last submission.
$703,630
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.
09/29/2017