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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
49.12
Modified
44
44
15
49.13
New
2
4
5
49.16 (Certify)
New
14688
1469
0
49.16 (Record Corrective Actions)
New
2448
612
0
49.17/ MSHA Form 5000-3
New
1232
308
308000
Form and Instruction
MSHA Form 5000-3
Certificate of Physical Qualification for Mine Rescue Work
Form and Instruction
MSHA FORM 5000-3
Certificate of Physical Qualification for Mine Rescue Work (Intro Screen)
49.18
New
1232
246
478720
49.19
New
44
88
0
49.50/ MSHA Form 2000-224 (Certifying)
New
750
98
0
Form and Instruction
MSHA Form 2000-224
Operator’s Annual Certification of Mine Rescue Team Qualifications
49.50/ MSHA Form 2000-224 (Clerical)
New
750
98
188
Form and Instruction
MSHA Form 2000-224
Operator’s Annual Certification of Mine Rescue Team Qualifications
75.1713-1
New
44
88
0
77.1702
New
145
290
0
Total burden requested under this ICR:
21379
3345
786928
To view an IC, click on IC Title