Hazardous Conditions Complaints

ICR 202504-1219-001

OMB: 1219-0014

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2025-11-25
Supplementary Document
2025-09-26
IC Document Collections
IC ID
Document
Title
Status
14363 Modified
ICR Details
1219-0014 202504-1219-001
Received in OIRA 202209-1219-001
DOL/MSHA
Hazardous Conditions Complaints
Extension without change of a currently approved collection   No
Regular 01/05/2026
  Requested Previously Approved
36 Months From Approved 03/31/2026
2,249 1,785
450 357
0 0

Under Section 103(g) of the Federal Mine Safety and Health Act of 1977, as amended (Mine Act), a representative of miners, or any individual miner where there is no representative of miners, may submit a written or oral notification of alleged violation or imminent danger of the Mine Act or a mandatory standard or of an imminent danger. The notifier has the right to obtain an immediate inspection by MSHA. A copy of the notice must be provided to the operator, with individual miner names redacted. MSHA regulations at 30 C.F.R. part 43 implement section 103(g) of the Mine Act. These regulations provide the procedures for submitting notification of the alleged violation and the actions that MSHA must take after receiving the notice. Although the regulations contain a review procedure (required by section 103(g)(2) of the Mine Act) whereby a miner or a representative of miners may in writing request a review if no citation or order is issued as a result of the original notice, the option is so rarely used that it was not considered in the burden estimates.

US Code: 30 USC 811 Name of Law: Federal Mine Safety and Health Act of 1977
   US Code: 30 USC 813(h) Name of Law: Federal Mine Safety and Health Act of 1977
  
None

Not associated with rulemaking

  90 FR 46261 09/25/2025
90 FR 56803 12/08/2025
No

1
IC Title Form No. Form Name
Hazardous Conditions Complaints None, None Hazardous Conditions Compliant (ENGLISH) ,   Hazardous Conditions Complaint (SPANISH)

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,249 1,785 0 0 464 0
Annual Time Burden (Hours) 450 357 0 0 93 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Number of Respondents: The estimated number of respondents increased from 1,785 to 2,249 due to an increase in the number of miners and representatives of miners submitting complaints. Number of Responses: The estimated number of responses increased from 1,785 to 2,249 due to an increase in the number of complaints submitted. Annual Time Burden: The estimated annual time burden increased from 357 to 450 due to an increase in the number of complaints submitted. Costs to Respondents: The estimated annual burden cost remains unchanged at $0.

$707,086
No
    No
    No
No
No
No
No
Joanna Moore 202 693-9825 moore.joanna@dol.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/05/2026


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