Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1219-0042	ICR Reference No: 201608-1219-002
Status: Historical Active	Previous ICR Reference No: 201404-1219-001
Agency/Subagency: DOL/MSHA	Agency Tracking No:
Title: Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/15/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/20/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	36 Months From Approved	09/30/2017
Responses	10,481	0	10,196
Time Burden (Hours)	2,027	0	2,029
Cost Burden (Dollars)	842	0	2,419

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	10,481	10,196	285
Annual Time Burden (Hours)	2,027	2,029	-2
Annual Cost Burden (Dollars)	842	2,419	-1,577

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Respondents increased from 10,196 to 10,481. The number of responses (reports and telephone and written responses) increased as well from 10,196 to 10,481. There was a decrease in the burden hours (2,029 to 2,026) due to the use of a four decimal calculation in the last submission. There was a decrease in updating current costs including removing costs for telephone calls ($2,419 to $842).

Annual Cost to Federal Government: $62,580

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Nicole Bouchet 202-693-0213 nicole.bouchet@dol.gov