Emergency Mine Evacuation

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Documents and Forms

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Information Collection (IC) Details

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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

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 Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,358,376	858,628	859	498,889
Annual IC Time Burden (Hours)	23,920	1,338	5,035	17,547
Annual IC Cost Burden (Dollars)	9,751	-25,920	-1,329	37,000

Documents for IC

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