View Information Collection (IC)

View Information Collection (IC)

IC Title:	Emergency Mine Evacuation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 75.1714-8 30 CFR 75.1714-5 30 CFR 75.1502 30 CFR 75.1504 30 CFR 75.1505 30 CFR 48.3 30 CFR 50.10 30 CFR 50.11 30 CFR 75.1714-3

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2000-222 SCSR Report electronic instructions ROCIS.doc	http://www.msha.gov/forms/forms.asp	Yes	Yes	Printable Only
Form	MSHA 2000-222	Electronic SCSR Inventory and Report	2000-222 ElectronicSCSR Inventor2.doc	http://www.msha.gov/forms/forms.asp	Yes	Yes	Fillable Fileable
Form and Instruction	MSHA 2000-222	SCSR Inventory and Report	Form 2000-222 ROCIS .pdf		No		Paper Only

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: 873	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	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	1,358,376	0	0	0	0	1,358,376
Annual IC Time Burden (Hours)	23,920	0	0	0	0	23,920
Annual IC Cost Burden (Dollars)	9,751	0	0	0	0	9,751

Documents for IC

Title	Document	Date Uploaded
No associated records found

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