Mine Health and Safety Grants

DOL Generic Solution for Funding Opportunity Announcements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0086 can be found here:

Documents and Forms

Document Name Document Type
CTS 11373 FY 2020 State Grants FOA (4-3-20)_BMcK CHR RM.docx Other-FOA Document
FY20 State Grants Mini Sup Statement 1-22-20.docx FOA Supplemental Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Mine Health and Safety Grants	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-FOA Document			CTS 11373 FY 2020 State Grants FOA (4-3-20)_BMcK CHR RM.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FOA Supplemental Supporting Statement	FY20 State Grants Mini Sup Statement 1-22-20.docx	04/27/2020

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