1219-0009
Form 5000-23: Change Request
The change requested to this is one form wording change only. There are not other changes or burden changes.
It needs to say “New Miner” for the 5th answer category we changed instead of “Newly Experienced Miner.”
In addition, MSHA has a new mailing address and that change to 12th St. is also inserted to the new form as well.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Bouchet, Nicole - MSHA |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |