30 CFR 250.1914(e); 1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards;

30 CFR Part 250, Subpart S, Safety and Environmental Management Systems (SEMS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0017 can be found here:

Documents and Forms

Document Name Document Type
Form BSEE-0131 30 CFR 250.1914(e); 1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards; Form
User Guide for Performance Measures Data Application.pdf timsweb.bsee.gov/ Instruction
BSEE-0131 Performance Measures Data Form 0131.docx www.bsee.gov/who-we-are/working-with-us/doing-business-bsee/OCS-forms Form

Information Collection (IC) Details

IC Title:	30 CFR 250.1914(e); 1928(d), (e); 1929 - Form BSEE-0131; maintain contractor employee injury/illness log retain for 2 yrs, make available to BSEE; inform re hazards;	Agency IC Tracking Number:	1014-0017 '18

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1914(e);1928(d),(e);1929

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BSEE-0131	Performance Measures Data	Form 0131.docx	https://www.bsee.gov/who-we-are/working-with-us/doing-business-bsee/OCS-forms	Yes	Yes	Fillable Printable
Instruction			User Guide for Performance Measures Data Application.pdf	https://timsweb.bsee.gov/	Yes	Yes	Fillable Fileable Signable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 64	Number of Respondents for Small Entity: 44

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	64	-66	130
Annual IC Time Burden (Hours)	73,664	71,714	1,950
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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