Document

Independent Contractor Registration Request

ICR 201609-1219-003 · OMB 1219-0040 · Object 68396701.

Document Viewer [docx]

Status: The document is viewable, but some background extraction is still pending.

Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-07-29 13:09:01)

Missing: html

Download: Source copy (docx)

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Loading document viewer…

Document Metadata

Record metadata
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Independent Contractor Registration Request
Heagney, Gerald L - MSHA
2021-01-23
partial