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Forms and Filings Intro Page for Form MSHA-5000-3
Certificate of Physical Qualification for Mine Rescue Work.pdf
Mine Rescue Teams, Arrangements for Emergency Medical Assistance, and Arrangements for Transportation for Injured Persons
Forms and Filings Intro Page for Form MSHA-5000-3
OMB: 1219-0078
OMB.report
DOL/MSHA
OMB 1219-0078
ICR 201905-1219-002
IC 14446
Forms and Filings Intro Page for Form MSHA-5000-3
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1219-0078 can be found here:
2020-02-28 - Extension without change of a currently approved collection
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