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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 14347 under ICR 202004-1219-002 · OMB 1219-0007.

Documents and Forms
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Document Type
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Instruction
Instruction
Form
Form
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Information Collection (IC) Details

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Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report
 
No Modified
 
Mandatory
 
30 CFR 50.10 30 CFR 50.11 30 CFR 50.20 30 CFR 50.30

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 7000-1 Mine Accident, Injury and Illness Report 7000-1.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report Yes Yes Fillable Fileable
Instruction Mine Accident, Injury and Illness Report INTRO.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report Yes Yes Fillable Fileable
Instruction 7000-2 INTRO.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production Yes Yes Fillable Fileable
Form 7000-2 Quarterly Mine Employment and Coal Production Report 7000-2.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production Yes Yes Fillable Printable
Form 7000-1 Mine Accident Injury and Illness Report Screen Shots MSHA Form 7000-1 2020.docx https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report Yes Yes Fillable Fileable
Form 7000-2 Quarterly Mine Employment and Coal Production Screen Shots MSHA Form 7000-2 2020.docx https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production Yes Yes Fillable Fileable

Workforce Management Worker Safety

Privacy Act Systems - DOL/MSHA-1  81 FR 25766

25,067 0
   
Private Sector Businesses or other for-profits
 
   80 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 112,414 0 0 -6,003 0 118,417
Annual IC Time Burden (Hours) 131,631 0 0 -30,695 0 162,326
Annual IC Cost Burden (Dollars) 2,946 0 0 99 0 2,847

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