Respirable Coal Mine Dust Sampling

Electronic Mine Operator Dust Data Card | Mine Safety and Health Administration (MSHA)

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ELECTRONIC MINE OPERATOR DUST DATA CARD

Electronic Mine Operator Dust Data Card
Form ID: N/A
Description: 
30 CFR Sections 70.210(a) and (c) and 71.207(a) and (c) require each Coal Mine Dust Personal Sampler
Unit (CMDPSU) sample to be transmitted to MSHA with a completed Dust Data Card.  MSHA requires a
Dust Data Card for every CMDPSU sample.   
Control ID: 1219-0011
Expiration Date: October 31, 2022
Contact Information: 
Questions regarding this form should be directed to MSHA at (877) 778-6055 or desk.help@dol.gov.
Privacy Notice: 
Privacy Notice
Legal Authority: 
30 CFR Sections 70.210(a) and (c) and 71.207(a) and (c)
Burden Statement: 
Public reporting burden for this form is estimated to average 7 minutes per response. The burden estimate
includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and submitting the form. This collection of information is mandatory and will be
retained for 1 year.  You are not required to respond to this collection of information unless it displays a valid
OMB control number. Send comments regarding the accuracy of the burden estimate and any suggestions

https://staging.msha.gov/support-resources/forms-online-filing/2020/10/01/electronic-mine-operator-dust-data-card[10/1/2020 10:04:02 AM]

Electronic Mine Operator Dust Data Card | Mine Safety and Health Administration (MSHA)

for reducing the burden to: to the Mine Safety and Health Administration, U.S. Department of Labor, Office
of Standards Regulations and Variances, 201 12th Street South, Suite 401 Arlington, VA 22202-5450,
Paperwork Reduction Project (1219- 0011). NOTE: Do not send your completed form to this address.
Online Filing: 
Electronic Mine Operator Dust Data Card

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https://staging.msha.gov/support-resources/forms-online-filing/2020/10/01/electronic-mine-operator-dust-data-card[10/1/2020 10:04:02 AM]