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Federal forms, ICRs, and supporting documents

Information Collection

Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements

IC 208447 under ICR 202502-1219-010 · OMB 1219-0144.

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

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Mine Rescue Teams; Arrangements for Emergency Medical Assistance and Transportation for Injured Persons; Agreements; Reporting Requirements; Posting Requirements
 
No Modified
 
Mandatory
 
30 CFR 49.16 30 CFR 49.13 30 CFR 49.17 30 CFR 49.18 30 CFR 49.12 30 CFR 49.4 30 CFR 49.3 30 CFR 49.2 30 CFR 49.5 30 CFR 49.6 30 CFR 49.7 30 CFR 49.8 30 CFR 49.9 30 CFR 49.19 30 CFR 49.50 30 CFR 75.1713-1 30 CFR 77.1702

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MSHA Form 2000-224 Operator’s Annual Certification of Mine Rescue Team Qualifications MSHA_2000-224.pdf http://arlweb.msha.gov/forms/elawsforms/2000-224.htm Yes Yes Fillable Fileable
Instruction Operator’s Annual Certification of Mine Rescue Teams Qualifications _ Mine Safety and Health Administration (MSHA) more information.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/11/18/operators-annual-certification-mine-rescue-teams Yes Yes Fillable Fileable
Instruction Certificate of Physical Qualification for Mine Rescue Work _ Mine Safety and Health Administration (MSHA) more information.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/certificate-physical-qualification-mine-rescue-work Yes Yes Fillable Fileable
Form 5000-3 Certificate of Physical Qualification for Mine Rescue Work MSHA_5000-3.pdf https://www.msha.gov/sites/default/files/Support_Resources/Forms/5000-3.pdf Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

362 0
   
Private Sector Businesses or other for-profits
 
   99 %

  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 30,436 0 0 0 0 30,436
Annual IC Time Burden (Hours) 5,106 0 0 0 0 5,106
Annual IC Cost Burden (Dollars) 265 0 0 0 0 265

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