Independent Contractor Register

ICR 200212-1219-003

OMB: 1219-0040

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
14398
Migrated
ICR Details
1219-0040 200212-1219-003
Historical Active 199910-1219-002
DOL/MSHA
Independent Contractor Register
Extension without change of a currently approved collection   No
Regular
Approved without change 02/19/2003
Retrieve Notice of Action (NOA) 12/27/2002
  Inventory as of this Action Requested Previously Approved
02/28/2006 02/28/2006 02/28/2003
99,398 0 92,528
13,250 0 12,334
175,000 0 200,000

Requires the mine operator to maintain a register of independent contractors working at the mine. The information is used by MSHA during inspections to determine proper responsibility for compliance with safety and health standards.

None
None


No

1
IC Title Form No. Form Name
Independent Contractor Register

  Total Approved 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 99,398 92,528 0 6,870 0 0
Annual Time Burden (Hours) 13,250 12,334 0 916 0 0
Annual Cost Burden (Dollars) 175,000 200,000 0 -25,000 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
12/27/2002


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