Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report

Mine Accident, Injury, and Illness Report and Quarterly Mine Employment and Coal Production Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 7000-1 Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report Form
Mine Accident, Injury and Illness Report INTRO.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report Instruction
7000-2 INTRO.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production Instruction
7000-1 Mine Accident, Injury and Illness Report 7000-1.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report Form
7000-2 Quarterly Mine Employment and Coal Production Report 7000-2.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production Form
7000-1 Mine Accident Injury and Illness Report Screen Shots MSHA Form 7000-1 2020.docx www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report Form
7000-2 Quarterly Mine Employment and Coal Production Screen Shots MSHA Form 7000-2 2020.docx www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production Form

Information Collection (IC) Details

IC Title:	Mine Accident, Injury & Illness Report and Quarterly Mine Employment and Coal Production Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 50.10 30 CFR 50.11 30 CFR 50.20 30 CFR 50.30

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	7000-1	Mine Accident, Injury and Illness Report	7000-1.pdf	https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report	Yes	Yes	Fillable Fileable
Instruction			Mine Accident, Injury and Illness Report INTRO.pdf	https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report	Yes	Yes	Fillable Fileable
Instruction			7000-2 INTRO.pdf	https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production	Yes	Yes	Fillable Fileable
Form	7000-2	Quarterly Mine Employment and Coal Production Report	7000-2.pdf	https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production	Yes	Yes	Fillable Printable
Form	7000-1	Mine Accident Injury and Illness Report	Screen Shots MSHA Form 7000-1 2020.docx	https://www.msha.gov/support-resources/forms-online-filing/2015/04/14/mine-accident-injury-and-illness-report	Yes	Yes	Fillable Fileable
Form	7000-2	Quarterly Mine Employment and Coal Production	Screen Shots MSHA Form 7000-2 2020.docx	https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/quarterly-mine-employment-and-coal-production	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title: Privacy Act Systems - DOL/MSHA-1	FR Citation: 81 FR 25766

Number of Respondents: 25,067	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	112,414	-6,003	118,417
Annual IC Time Burden (Hours)	131,631	-30,695	162,326
Annual IC Cost Burden (Dollars)	2,946	99	2,847

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.