Certificate of Electrical Training

Forms and Documents

Document Name	Status
Form 5000-1 Certificate of Electrical Training Form	Modified
1219-0001 ROCIS.doc Supporting Statement A	0000-00-00

IC Document Collections

IC ID	Document Title	Status
14333	Certificate of Electrical Training Form	Modified

ICR Details

OMB Control No: 1219-0001	ICR Reference No: 200703-1219-002
Status: Historical Active	Previous ICR Reference No: 200404-1219-001
Agency/Subagency: DOL/MSHA	Agency Tracking No:
Title: Certificate of Electrical Training
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/06/2007
	Date Received in OIRA: 04/18/2007
Terms of Clearance: OMB approves collection consistent with the e-mail on 5/30/07. MSHA will have made all possible efforts to reduce or eliminate the use of Social Security numbers as personal identifiers by the expiration of the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2010	36 Months From Approved	06/30/2007
Responses	2,294	0	1,626
Time Burden (Hours)	138	0	3,829
Cost Burden (Dollars)	9,257	0	222,000

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Abstract: MSHA Form 5000-1, Certificate of Electrical Training, is required to be used by instructors for reporting to MSHA the qualification of those persons who have satisfactorily completed a coal mine electrical training program course.

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Authorizing Statute(s): PL: Pub.L. 91 - 173 101(a); 103(a)(2); 305(g) Name of Law: Federal Mine Safety and Health Act of 1977
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 2310	01/18/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 19551	04/18/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Certificate of Electrical Training	5000-1	Certificate of Electrical Training

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,294	1,626	0	668	0	0
Annual Time Burden (Hours)	138	3,829	0	-3,691	0	0
Annual Cost Burden (Dollars)	9,257	222,000	0	-212,743	0	0

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease is due in part (483 hours) to the number of qualifications reported in FY 2003 and not the number of miners. This was corrected in this collection. A burden for training was in preceding collections and should not have been counted as a paperwork burden. This correction results in a decrease of 3,208 hours. The decrease in cost is also due largely to the erroneous burden for training previously reported.

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Annual Cost to Federal Government: $99,386

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/18/2007

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