Mine Operator Identification Request

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

Mine Operator Identification Request
Approved OMB No.: 1219-0042 / Expires: 12/31/2026

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
1 2

3 4

F

N P

Status of Operation

Travel Area

SIC Code
I

Coal Mine Data
A
ADIB Use
Status of Operation

B C D E F G

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

Work Group

SIC Code

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: U.S. Department of Labor, Mine Safety and Health Administration, Office of Standards, Regulations,
and Variances, 200 Constitution Avenue NW, Room C3522 Washington, DC 20210. NOTE: Do not send your completed form to this address.
This form is affected by the Privacy Act of 1974

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MSHA Form 7000-51
(Rev.) February 2026
Previous editions are obsolete