Independent Contractor Registration and Identification

Forms and Documents

Document Name	Status
Form 7000-52 Independent Contractor Registration Request Form and Instruction	Modified
Change req justif 1219-0040.docx Justification for No Material/Nonsubstantive Change	2016-12-30
1219-0040 etc group FRN PUBLISHED 5-11-15 p26953.pdf Supplementary Document	2015-07-13
1219-0040 Supporting Statement 10-2014.doc Supporting Statement A	2015-07-22

IC Document Collections

IC ID	Document Title	Status
202474	Independent Contractor Registry Submission to Mine Operator	Unchanged
187793	Mine Operator Contractor Registry	Unchanged
14399	Independent Contractor Registration Request Form and Instruction	Modified

ICR Details

OMB Control No: 1219-0040	ICR Reference No: 201609-1219-003
Status: Historical Active	Previous ICR Reference No: 201408-1219-002
Agency/Subagency: DOL/MSHA	Agency Tracking No:
Title: Independent Contractor Registration and Identification
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/03/2017
	Date Received in OIRA: 09/08/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2018	11/30/2018	11/30/2018
Responses	104,919	0	104,919
Time Burden (Hours)	9,539	0	9,539
Cost Burden (Dollars)	576	0	576

---

Abstract: Title 30 CFR part 45, Independent Contractors, sets forth information requirements and procedures for independent contractors to obtain a Mine Safety and Health Administration (MSHA) identification number and procedures for service of documents upon independent contractors. The information collections associated with this information collection support the appropriate assessment of fines for violations by independent contractors and the deterrent effect of MSHA enforcement actions on independent contractors.

---

Authorizing Statute(s): US Code: 30 USC 813(h) Name of Law: Federal Mine Safety & Health Act of 1977
   US Code: 30 USC 811(a) Name of Law: Federal Mine Safety & Health Act of 1977
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 26953	05/11/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 47000	08/06/2015
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Independent Contractor Registration Request	7000-52	Contractor Identification (ID) Request
Mine Operator Contractor Registry
Independent Contractor Registry Submission to Mine Operator

---

ICR Summary of Burden

	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	104,919	104,919	0	0	0	0
Annual Time Burden (Hours)	9,539	9,539	0	0	0	0
Annual Cost Burden (Dollars)	576	576	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Respondents: There has been an increase in respondents of 438 (from 13,245 to 13,683). This is due to an increase in the number of metal and nonmetal mines. Responses: There has been an increase in responses of 3,217 (from 101,702 to 104,919). Hours: There has been an increase of 294 hours (9,245 to 9,539). This increase is due to the increase in the number of respondents and responses. Costs: There has been an increase of $31 (from $545 to $576). This increase is due to a slight increase in the cost of postage.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/08/2017

---