Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification and Qualification to Examine, Test, Operate Hoists, and to Perform Other Duties Modified 3980 334 3 Form MSHA Form 5000-41 Safety and Health Activity Certification or Hoisting Engineers Qualification Request
Form and Instruction MSHA Form 5000-41 Safety and Health Activity Certification or Hoisting Engineers Qualification Request
Instruction
Total burden requested under this ICR: 3980 334 3  
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