View Information Collection (IC)

View Information Collection (IC)

MSHA Performance Report Narratives and MSHA Form 5000-50, MSHA State Grant Program Performance Report
No New
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5000-50 MSHA State Grant Program Performance Report MSHA Form 5000-50 State Grant Technical Accomplishment Form.xlsx Yes Yes Fillable Fileable

Workforce Management Worker Safety


60 0
State, Local, and Tribal Governments
   100 %

  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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 750 0 750 0 0 0
Annual IC Cost Burden (Dollars) 53 0 53 0 0 0

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