OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Petitions for Modification of Mandatory Safety Standards

OMB 1219-0065 · DOL/MSHA.

OMB 1219-0065

The Department's regulations at 30 C.F.R. 44.9, 44.10, and 44.11 provide procedures by which a mine operator, representative of miners, or independent contractor may request relief from a mandatory safety standard.

The latest form for Petitions for Modification of Mandatory Safety Standards expires 2028-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
Supplementary Document
All Historical Document Collections
 Extension without change of a currently approved collection 2025-05-06
Approved without change
 Extension without change of a currently approved collection 2022-04-12
Approved with change
 Extension without change of a currently approved collection 2019-05-01
Approved without change
 Extension without change of a currently approved collection 2016-01-29
Approved without change
 Extension without change of a currently approved collection 2012-12-14
Approved without change
 Extension without change of a currently approved collection 2009-10-27
Approved without change
 Extension without change of a currently approved collection 2006-08-31
Approved without change
 No material or nonsubstantive change to a currently approved collection 2003-12-31
Approved without change
 Extension without change of a currently approved collection 2003-08-22
Approved without change
 Extension without change of a currently approved collection 2000-08-14
Approved without change
 Reinstatement without change of a previously approved collection 1997-07-02
Approved without change
 Reinstatement with change of a previously approved collection 1994-03-07
Approved without change
 Revision of a currently approved collection 1990-12-04
Approved without change
 Revision of a currently approved collection 1990-04-03
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-10-01
Approved without change
 Revision of a currently approved collection 1989-05-04
Approved with change
 No material or nonsubstantive change to a currently approved collection 1988-10-01
Approved with change
 No material or nonsubstantive change to a currently approved collection 1987-08-04
Approved without change
 Revision of a currently approved collection 1987-04-08
Approved with change
 No material or nonsubstantive change to a currently approved collection 1986-01-13
Approved without change
 Revision of a currently approved collection 1984-05-01
Approved with change
 No material or nonsubstantive change to a currently approved collection 1983-05-27
Approved without change
 Revision of a currently approved collection 1982-06-11
Approved without change
 New collection (Request for a new OMB Control Number) 1981-12-17