Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
FMSHRC Medical Exception Request Form Modified 6 24 600 Form and Instruction FMSHRC-09-001 FMSHRC Medical Exception Request Form
Form and Instruction FMSHRC-09-002 Medical Exception Request to the Vaccination Requirement
Total burden requested under this ICR: 6 24 600  
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