7000-51 Mine Operator Identification Request

Mine Operator Identification Request

U.S. Department of Labor
Mine Safety and Health Administration

Approved OMB No.: 1219-0042 / Expires: Dec. 31, 2023

Check Appropriate Box

Mine Identification Number

Metal/Nonmetal

Coal

Date

Operating Company Name
Mine/Plant Name
Mailing Address For Document Delivery (Same as on Legal Identity Form)
City

State

Zip Code

Contact Official

Title

Phone

Nearest Town to Mine

State

County

Status Date

Office Code

Mine Type (Subunit)

County Code (FIPS)

(01) Underground

(06) Dredge

(03) Strip, Quarry, Pit, Dragline

(12) Other Mining

(04) Auger

(17) Independent Shops & Yards

(05) Culm Bank, Refuse Pile

(30) Prep Plant, Mill, Tipple

Metal/Nonmetal Mine Data
Status of Operation

SIC Code

Travel Area

Coal Mine Data
ADIB Use
Status of Operation

AA AD CF CG BA CB AB
BB
CH BC
AC BD

SIC Code

Work Group

BE

District/Field Office
Name of MSHA Employee Requesting Number
Office Telephone

FAX Number

FAX Verification
Coder Number:
FAX Number:

Attn:

FAX Number:

Attn:

ADIB

Date

Time:

Sender

Date

Time:

Sender

Public reporting burden for this form is estimated to average 20 minutes per response. The burden estimate includes the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and submitting the form. This collection of information is
mandatory. You are not required to respond to this collection of information unless it displays a valid OMB control number. Send comments regarding
the accuracy of the burden estimate and any suggestions for reducing the burden to: Mine Safety & Health Administration, U.S. Department of Labor,
Office of Standards, Regulations and Variances, 201 12th Street South, Suite 4E401., Arlington, VA 22202-5452, Paperwork Reduction Project
(1219-0042). NOTE: Do not send your completed form to this address.
This form is affected by the Privacy Act of 1974

MSHA 7000-51
Mar 2022

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