Document
Independent Contractor Registration Request
ICR 201408-1219-002 · OMB 1219-0040 · Object 49672101.
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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Independent Contractor Registration Request |
| Author | feehan.richard |
| Last Modified By | Writer |
| File Modified | 2011-11-18 |
| File Created | 2026-07-14 |
| Conversion State | complete |
Extracted Text
A to Z Index | Find It! in DOL | En Español Top of Form [skip navigational links] Bottom of Form Advanced Search | Help - MSHA Online Forms Advisor Forms and Online Filings Form number: MSHA Form 7000-52 Form name: Contractor Identification (ID) Request Description: All independent contractors may apply for MSHA contractor identification numbers. This information is used to assist MSHA in obtaining MSHA identification numbers for independent contractors. OMB Control Number and Expiration Date: 1219-0040; X/XX/20XX Filing Options: Form 7000-52, Contractor ID Request can be filed online. File online 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 45.3 Burden Statement: Public reporting burden for this collection of information is estimated to average 8 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This is a voluntary collection of information (30 CFR 45.3). This information is used to assist independent contractors in obtaining permanent MSHA identification numbers. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Information Management, Department of Labor, Room N-1301, 200 Constitution Avenue, N.W., Washington, D.C. 20210; and to the Office of Management and Budget, Paperwork Reduction Project (1219-0040), Washington, D.C. 20503. Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. Complete and File Form Online Return to MSHA Online Forms Advisor Main Menu Back to Top www.msha.gov www.dol.gov Frequently Asked Questions | Freedom of Information Act | Customer Survey Accessibility | Privacy & Security Statement | Disclaimers