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OMB Control No: 1219-0143	ICR Reference No: 202601-1219-001
Status: Received in OIRA	Previous ICR Reference No: 202502-1219-009
Agency/Subagency: DOL/MSHA	Agency Tracking No: Exp 11-30-26
Title: Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/21/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2026
Responses	9,000	6,000
Time Burden (Hours)	720	500
Cost Burden (Dollars)	180	72

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	9,000	6,000	3,000
Annual Time Burden (Hours)	720	500	220
Annual Cost Burden (Dollars)	180	72	108

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Number of Respondents: The estimated number of respondents increased from 6,000 to 9,000 due to an increase in the number of individuals applying for MIINs. Number of Responses: The estimated number of responses increased from 6,000 to 9,000 due to the increase in respondents. Annual Time Burden: The estimated annual time burden increased from 500 to 720 due to the increase in respondents. Annual Recordkeeping Costs: The estimated annual recordkeeping costs increased from $72 to $180 due to the increase in respondents and an increase in the cost of supplies/postage.

Annual Cost to Federal Government: $87,684

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Joanna Moore 202 693-9825 moore.joanna@dol.gov

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