View Information Collection (IC)

View Information Collection (IC)

IC Title:	Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report (30 CFR 50.10; 50.11; 50.20; and 50.30)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 50.10 30 CFR 50.11 30 CFR 50.20 30 CFR 50.30

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MSHA-7000-1	Mine Accident, Injury and Illness Report	Form 7000-1 (Mine Accident, Injury & Illness Report).pdf	http://www.msha.gov/forms/elawsforms/7000-1.htm	Yes	Yes	Fillable Fileable
Form	MSHA-7000-2	Quarterly Mine Employment and Coal Production Report	2004 7000-2.pdf	http://www.msha.gov/forms/elawsforms/7000-2.htm	Yes	Yes	Fillable Fileable

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: 22,295	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 29 %

	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	139,903	0	0	6,051	0	133,852
Annual IC Time Burden (Hours)	270,666	0	0	165,624	0	105,042
Annual IC Cost Burden (Dollars)	31,993	0	0	-2,007	0	34,000

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.