Information Collection Request
Certification and Qualification to Examine, Test, Operate Hoists and Perform Other Duties
ICR 202502-1219-007 · OMB 1219-0127 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form MSHA Form 5000-41 Certification and Qualification to Examine, Test, Operate Hoists, and to Perform Other Duties |
Form | Modified | Repair queued |
 Justification for No Material and Non substantive Change.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-05 | Available |
| 1219-0127 Supporting Statement 2023.docx |
Supporting Statement A | Uploaded 2024-01-22 | Available |
 1219-0127 60-Day FRN Published 8-16-2023.pdf |
Supplementary Document | Uploaded 2023-08-30 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 14507 |  Certification and Qualification to Examine, Test, Operate Hoists, and to Perform Other Duties |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | DOL/MSHA |
| OMB Control No | 1219-0127 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202308-1219-001 |
| Date Submitted to OIRA | 2025-04-07 |
| Requested Expiration Date | 1969-12-31 |