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Radiation Sampling and Exposure Records
No Modified
30 CFR 57.5037 30 CFR 57.5040

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Individual Exposure to Radon Daughters 4000-9 MSHA FORM 4000-9 rev 4-8-14.pdf Yes Yes Fillable Fileable Signable

Workforce Management Worker Safety

DOL-MSHA 24, Radon Daughter Exposure  67 FR 16815

5 0
Private Sector Businesses or other for-profits
   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 505 0 0 0 0 505
Annual IC Time Burden (Hours) 502 0 0 0 0 502
Annual IC Cost Burden (Dollars) 25 0 0 0 0 25

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