Information Collection

Training Plan Regulations and Certificate of Training

IC 38514 under ICR 202007-1219-001 · OMB 1219-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0009 can be found here:

Documents and Forms

Document Name Document Type
elaws - MSHA Training Plan Advisor.pdf webapps.dol.gov/elaws/msha_train.htm Instruction
Intro to 5000-23.pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training Other-Introduction and Instructions
5000-23 Certificate of Training 5000-23.pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training Form and Instruction
MSHA - Program Policy Manual - Volume III.mht MSHA-Program Policy Manual-Volume III IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Training Plan Regulations and Certificate of Training	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 48.23 30 CFR 48.29 30 CFR 48.3 30 CFR 48.9

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5000-23	Certificate of Training	5000-23.pdf	https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training	Yes	Yes	Fillable Fileable
Instruction			elaws - MSHA Training Plan Advisor.pdf	https://webapps.dol.gov/elaws/msha_train.htm	Yes	No	Fillable Printable
Other-Introduction and Instructions			Intro to 5000-23.pdf	https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/certificate-training	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,828	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 65 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	143,145	19,959	123,186
Annual IC Time Burden (Hours)	14,773	809	13,964
Annual IC Cost Burden (Dollars)	468,122	97,004	371,118

Documents for IC

Title	Document	Date Uploaded
MSHA-Program Policy Manual-Volume III	MSHA - Program Policy Manual - Volume III.mht	05/09/2011

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