Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines

MSHA - Forms and Online Filings - Form 2000-238 - Representation of Miners Designation Form

UNITED STATES
DEPARTMENT OF LABOR

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Mine Safety and Health Administration - MSHA                                              
     - Protecting Miners' Safety and Health Since 1978

Form number:

None

Form name:

MSHA Notification of Representative of Miners

Description:

A written declaration of any person or organization which
represents two or more miners at a coal or other mine for the
purposes of the Act.

OMB Control Number
and
Expiration Date:

1219-0042; 6/30/2014

Filing Options:

Form fill, print and mail or fax
File online
Change online filing registration information
This notification may also be filed by submitting a printed letter
to your local MSHA District Office .
District office contact information for coal mines
District office contact information for
metal/nonmetal mines

Contact Information:

Questions regarding this form should be directed to MSHA at
(877) 778-6055 or [email protected]

Privacy Notice:

Privacy Notice

Legal Authority:

30 CFR 40.3

Burden Statement:

Public reporting burden for this collection of information
estimated to average 10 minutes per response; including the
time for reviewing instructions, searching existing data sources,
gathering and maintaining the date need, and completing and
reviewing the collection of information. Send comments
regarding the collection of information, including suggestions for
reducing this burden, to the Mine Safety & Health
Administration, U.S. Department of Labor, Office of Standards,
Regulations and Variances, 1100 Wilson Boulevard, Arlington,
Virginia 22209-3939. Persons are not required to respond to this
collection of information unless it displays a currently OMB
Control Number.

Complete and File Form Online
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U.S. Department of Labor | Mine Safety and Health Administration (MSHA) | 1100 Wilson Boulevard, 21st Floor | Arlington, VA 22209-3939
www.msha.gov | Telephone: (202) 693-9400

http://www.msha.gov/forms/elawsforms/MineRep.htm[4/16/2014 2:02:26 PM]

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