Information Collection Request
Mine Safety and Health Administration Grant Performance Reports
ICR 202502-1219-011 · OMB 1219-0154 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 5000-50 MSHA Performance Report Narratives and MSHA Form 5000-50, MSHA State Grant Program Performance Report |
Form | Modified | Available |
 Justification for No Material and Non substantive Change.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-05 | Repair queued |
 1219-0154 60-day FRN Published 1-24-2024.pdf |
Supplementary Document | Uploaded 2024-01-24 | Repair queued |
| 1219-0154 Supporting Statement Performance Report for MSHA Grants 2023.docx |
Supporting Statement A | Uploaded 2024-03-26 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 228996 |  MSHA Performance Report Narratives and MSHA Form 5000-50, MSHA State Grant Program Performance Report |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | DOL/MSHA |
| OMB Control No | 1219-0154 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202401-1219-002 |
| Date Submitted to OIRA | 2025-04-07 |
| Requested Expiration Date | 1969-12-31 |