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Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines
Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines
OMB: 1219-0042
IC ID: 14405
OMB.report
DOL/MSHA
OMB 1219-0042
ICR 201404-1219-001
IC 14405
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1219-0042 can be found here:
2023-11-14 - Extension without change of a currently approved collection
2020-09-22 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
INTRO TO 7000-51 - Mine Identification (ID) Request.pdf
www.msha.gov/forms/elawsforms/MineIDRequest.htm
Instruction
INTRO TO 2000-238 - Representation of Miners Designation Form.pdf
www.msha.gov/forms/elawsforms/MineRep.htm
Instruction
INTRO TO 2000-7 - Legal Identification (ID) Report.pdf
www.msha.gov/forms/elawsforms/2000-7.htm
Instruction
2000-7 Legal Identity Report
2000-7.pdf
www.msha.gov/forms/elawsforms/2000-7.htm
Form
2000-238 Representative of Miners Designation Form
2000-238.pdf
www.msha.gov/Forms/2000-238.pdf
Form
7000-51 Mine Operator Identification Request
7000-51 Mine Operator Identification Request - OMB.pdf
www.msha.gov/forms/elawsforms/MineIDRequest.htm
Form
MSHA Form 2000-238 Representative of Miners Designation Form
SCREENSHOTS Form Notification of Miners Rep Form.docx
www.msha.gov/Forms/2000-238.pdf
Form and Instruction
MSHA Form 7000-51 Mine Operator Identification Request
SCREENSHOTS Form 7000-51.docx
www.msha.gov/forms/elawsforms/MineIDRequest.htm
Form and Instruction
MSHA Form 2000-7 Legal Identity Report
SCREENSHOTS Form 2000-7.docx
www.msha.gov/forms/elawsforms/2000-7.htm
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
30 CFR 56.1000
30 CFR 40.4
30 CFR 40.3
30 CFR 57.1000
30 CFR 40.2
30 CFR 41.20
30 CFR 40.5
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
INTRO TO 7000-51 - Mine Identification (ID) Request.pdf
http://www.msha.gov/forms/elawsforms/MineIDRequest.htm
Yes
Yes
Fillable Fileable
Form
2000-7
Legal Identity Report
2000-7.pdf
http://www.msha.gov/forms/elawsforms/2000-7.htm
Yes
Yes
Fillable Fileable
Form
2000-238
Representative of Miners Designation Form
2000-238.pdf
http://www.msha.gov/Forms/2000-238.pdf
Yes
Yes
Fillable Fileable
Form
7000-51
Mine Operator Identification Request
7000-51 Mine Operator Identification Request - OMB.pdf
http://www.msha.gov/forms/elawsforms/MineIDRequest.htm
Yes
Yes
Fillable Fileable
Instruction
INTRO TO 2000-238 - Representation of Miners Designation Form.pdf
http://www.msha.gov/forms/elawsforms/MineRep.htm
Yes
Yes
Fillable Fileable
Instruction
INTRO TO 2000-7 - Legal Identification (ID) Report.pdf
http://www.msha.gov/forms/elawsforms/2000-7.htm
Yes
Yes
Fillable Fileable
Form and Instruction
MSHA Form 2000-238
Representative of Miners Designation Form
SCREENSHOTS Form Notification of Miners Rep Form.docx
http://www.msha.gov/Forms/2000-238.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
MSHA Form 7000-51
Mine Operator Identification Request
SCREENSHOTS Form 7000-51.docx
http://www.msha.gov/forms/elawsforms/MineIDRequest.htm
Yes
Yes
Fillable Fileable
Form and Instruction
MSHA Form 2000-7
Legal Identity Report
SCREENSHOTS Form 2000-7.docx
http://www.msha.gov/forms/elawsforms/2000-7.htm
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
Privacy Act Systems of Records Notice DOL/MSHA-21, Assessments and Civil Penalty Debt Collection Activity and Reporting System
FR Citation:
67 FR 16816
Number of Respondents:
10,196
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10,196
0
0
-1,171
0
11,367
Annual IC Time Burden (Hours)
2,029
0
0
-488
0
2,517
Annual IC Cost Burden (Dollars)
2,419
0
0
-2,240
0
4,659
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.