This form will report an aggregate summary at the end of each quarter on the type of service that the grantee is provided.
Form 5000-50, MSHA State Grant Program Technical Progress Report can be printed, and mailed to MSHA according to the instructions provided below.
Form fill, print and mail or fax
The completed Form 5000-50 should be uploaded into GrantsSolutions.
Questions regarding this form should be directed to MSHA at (877) 778-6055 or desk.help@dol.gov
- Section 115, the Federal Mine Safety and Health Act (Mine Act), as amended, 30 U.S.C. 825 - Mandatory health and safety training.
State Grants
- Section 503, the Mine Act, as amended, 30 U.S.C. 953 - Assistance to States.
Brookwood-Sago Mine Safety Grants
- Section 14, the Mine Improvement and New Emergency Response Act (MINER Act), 30 U.S.C. 965 - Brookwood-Sago Mine Safety Grants
Send comments regarding the collection of information, including suggestions for reducing this burden, to the Mine Safety and Health Administration, U.S. Department of Labor, Office of Standards, Regulations and Variances, 200 Constitution Avenue, NW, Room C3522, Washington, DC 20210. Persons are not required to respond to this collection of information unless it displays a currently valid OMB Control Number. NOTE: Do not send your completed form to this address.