View Information Collection (IC)

View Information Collection (IC)

IC Title:	MSHA 2023 State Grants Funding Program	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	MSHA 2023 State Grants Funding Program	47642_47642 FOA SOL_OASP clean ALO edits clean copy_03_24_23 03_18 PM.pdf	www.grants.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	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	56	0	56	0	0	0
Annual IC Time Burden (Hours)	1,008	0	1,008	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement for MSHA 2023 State Grants Justification	1225-0086 MSHA STATE GRANTS Mini Supporting Statement 2023.docx	03/29/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.