Information Collection

Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines

IC 14405 under ICR 202602-1219-002 · OMB 1219-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MSHA Form 2000-7 Legal Identity Report Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines	Form
Form MSHA Form 2000-238 Representative of Miners Designation Form Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines	Form
Form MSHA Form 7000-51 Mine Operator Identification Request Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines	Form
Form MSHA Form 2000-238 Representative of Miners Designation Form Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines	Form and Instruction
Form MSHA Form 7000-51 Mine Operator Identification Request Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines	Form and Instruction
Form MSHA Form 2000-7 Legal Identity Report Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines	Form and Instruction
Instructions for Mine ID Request _ Mine Safety and Health Administration (MSHA).pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request	Instruction
Instructions for Representative of Miners Designation Form.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form	Instruction
Instructions forLegal Identification Report _ Mine Safety and Health Administration (MSHA).pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/legal-identification-report	Instruction
MSHA Form 2000-238 Representative of Miners Designation Form.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form	Other-Print to View PDF of MSHA Form
MSHA Form 7000-51 Mine Operator Identification Request.pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request	Other-Print to View PDF of MSHA Form
MSHA Form 2000-7 Legal Identity Report MSHA_2000-7 Legal Identity Report.pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/legal-identification-report	Form
MSHA Form 2000-238 Representative of Miners Designation Form MSHA_2000-238 Representative of Miners Designation Form.pdf www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form	Form
MSHA Form 7000-51 Mine Operator Identification Request MSHA_7000-51 Mine Operator Identification Request.pdf www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request	Form
MSHA Form 2000-238 Representative of Miners Designation Form SCREENSHOTS Representative of Miners Designation Form MSHA Form 2000-238.docx www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form	Form and Instruction
MSHA Form 7000-51 Mine Operator Identification Request SCREENSHOTS Mine ID Request Form 7000-51.docx www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request	Form and Instruction
MSHA Form 2000-7 Legal Identity Report SCREENSHOTS Legal Identification Report Form 2000-7.docx www.msha.gov/support-resources/forms-online-filing/2018/05/23/legal-identification-report	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Representative of Miners, Notification of Legal Identity, and Notification of Commencement of Operations and Closing of Mines

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 40.4 30 CFR 40.3 30 CFR 56.1 30 CFR 57.1 30 CFR 40.5 30 CFR 41.20 30 CFR 40.2

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request	Yes	Yes	Fillable Fileable
Form	MSHA Form 2000-7	https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/legal-identification-report	Yes	Yes	Fillable Fileable
Form	MSHA Form 2000-238	https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form	Yes	Yes	Fillable Fileable
Form	MSHA Form 7000-51	https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request	Yes	Yes	Fillable Fileable
Instruction		https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form	Yes	Yes	Fillable Fileable
Instruction		https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/legal-identification-report	Yes	Yes	Fillable Fileable
Form and Instruction	MSHA Form 2000-238	https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form	Yes	Yes	Fillable Fileable
Form and Instruction	MSHA Form 7000-51	https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request	Yes	Yes	Fillable Fileable
Form and Instruction	MSHA Form 2000-7	https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/legal-identification-report	Yes	Yes	Fillable Fileable
Other-Print to View PDF of MSHA Form 2000-238		https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form	Yes	Yes	Fillable Fileable
Other-Print to View PDF of MSHA Form 7000-51		https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title: Privacy Act Systems of Records Notice DOL/MSHA-1, Mine Safety and Health Administration Standardized Information System (MSIS)

FR Citation: 67 FR 16816

Number of Respondents: 9,522

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	9,522	-73	9,595
Annual IC Time Burden (Hours)	1,717	-106	1,823
Annual IC Cost Burden (Dollars)	790	10	780

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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