Information Collection Request

Independent Contractor Registration and Identification

ICR 202103-1219-006 · OMB 1219-0040 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 7000-52 Contractor Identification (ID) Request Form and Instruction Modified Repair queued
Form 7000-52 Independent Contractor Registration Request Form and Instruction Modified Available
MSHA-2021-0012-0001 June 16, 2021.pdf Supplementary Document Uploaded 2021-10-28 Repair queued
1219-0040 Sup Statement 2021.docx Supporting Statement A Uploaded 2021-10-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
202474 Independent Contractor Registry Submission to Mine Operator Modified
187793 Mine Operator Contractor Registry Modified
14399 Independent Contractor Registration Request Form and Instruction ModifiedContractor Identification (ID) Request
14399 Independent Contractor Registration Request Form and Instruction Modified
14399 Independent Contractor Registration Request Instruction Modified

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2025 36 Months From Approved 03/31/2022
157,314 0 171,607
17,080 0 18,531
806 0 628





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table that charts list of burden
IC Title Form No. Form Name
Independent Contractor Registration Request 7000-52
Independent Contractor Registry Submission to Mine Operator
Mine Operator Contractor Registry

table that charts list 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 157,314 171,607 0 0 -14,293 0
Annual Time Burden (Hours) 17,080 18,531 0 0 -1,451 0
Annual Cost Burden (Dollars) 806 628 0 0 178 0


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