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Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals
Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)
OMB: 1219-0143
IC ID: 181962
OMB.report
DOL/MSHA
OMB 1219-0143
ICR 202305-1219-001
IC 181962
( )
Documents and Forms
Document Name
Document Type
Form 5000-46
Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals
Form and Instruction
Intro Screenshot_ Request an MSHA MIIN.pdf
www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Instruction
Intro Screenshot_ Request an MSHA MIIN.pdf
www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Instruction
5000-46 Request for MSHA Individual Identification Number (MIIN)
5000-46_4.pdf
www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Form and Instruction
5000-46 Request for MSHA Individual Identification Number (MIIN)
5000-46_4.pdf
www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Form and Instruction
5000-46 Request for Individual Identification Number (MIIN)
MIIN Screenshots.docx
www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Form
5000-46 Request for Individual Identification Number (MIIN)
MIIN Screenshots.docx
www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Qualification/Certification Program Request for MSHA Individual Identification Number (MIIN)-Individuals
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
30 CFR 70.210
30 CFR 75.100
30 CFR 75.150
30 CFR 75.153
30 CFR 75.155
30 CFR 77.100
30 CFR 77.101
30 CFR 77.102
30 CFR 77.103
30 CFR 77.104
30 CFR 90.208
30 CFR 90.209
30 CFR 77.105
30 CFR 90.3
30 CFR 90.100(b)
30 CFR 90.202
30 CFR 90.203
30 CFR 71.207
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5000-46
Request for MSHA Individual Identification Number (MIIN)
5000-46_4.pdf
https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Yes
Yes
Fillable Printable
Form
5000-46
Request for Individual Identification Number (MIIN)
MIIN Screenshots.docx
https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Yes
Yes
Fillable Fileable
Instruction
Intro Screenshot_ Request an MSHA MIIN.pdf
https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/request-msha-individual-identification-number-miin
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
DOL/MSHA-1
FR Citation:
81 FR 25766
Number of Respondents:
4,800
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
98 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,800
0
-700
0
0
5,500
Annual IC Time Burden (Hours)
400
0
-58
0
0
458
Annual IC Cost Burden (Dollars)
36
0
-19
0
0
55
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.