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Federal forms, ICRs, and supporting documents

Information Collection

Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Certified Instructors

IC 210355 under ICR 202502-1219-009 · OMB 1219-0143.

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

View Information Collection (IC)

Qualification/ Certification Program Request for MSHA Individual Identification Number (MIIN)-Certified Instructors
 
No Modified
 
Required to Obtain or Retain Benefits
 
30 CFR 77.103 30 CFR 77.104 30 CFR 77.105 30 CFR 90.3 30 CFR 90.100(b) 30 CFR 90.202 30 CFR 90.203 30 CFR 90.208 30 CFR 90.209 30 CFR 77.100 30 CFR 77.101 30 CFR 77.102 30 CFR 70.210 30 CFR 71.207 30 CFR 75.100 30 CFR 75.150 30 CFR 75.153 30 CFR 75.155

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 5000-46 Request for MSHA Individual Identification Number (MIIN) MSHA_5000-46.pdf https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin Yes Yes Fillable Printable
Form 5000-46 Request for Individual Identification Number (MIIN) MIIN Screenshots.docx https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin Yes Yes Fillable Fileable
Instruction Intro Screenshot_ Request an MSHA MIIN.pdf https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin Yes Yes Fillable Fileable

Workforce Management Worker Safety

DOL/MSHA-1  81 FR 25766

1,200 0
   
Individuals or Households
 
   98 %

  Approved 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 1,200 0 0 0 0 1,200
Annual IC Time Burden (Hours) 100 0 0 0 0 100
Annual IC Cost Burden (Dollars) 36 0 0 0 0 36

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