Certificate of Electrical Training and Applications for MSHA Approved Tests and State Tests Administered as Part of an MSHA-approved State Program

ICR 202502-1219-001

OMB: 1219-0001

Federal Form Document

Forms and Documents

Document Name	Status
Form MSHA Form 5000-1 Certificate of Electrical Training (State Grantees) Form and Instruction	Modified
Form MSHA Form 5000-1 Certificate of Electrical Training (instructors and contractors) Form and Instruction	Modified
Justification for No Material and Non substantive Change.docx Justification for No Material/Nonsubstantive Change	2025-03-05
1219-0001 Supporting Statement 2022.docx Supporting Statement A	2022-08-23

IC Document Collections

IC ID	Document Title	Status
208114	Evidence of Eligibility	Unchanged
192599	Certificate of Electrical Training (State Grantees) Form and Instruction	Modified
14333	Certificate of Electrical Training (instructors and contractors) Form and Instruction	Modified