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Federal forms, ICRs, and supporting documents

Information Collection

Independent Contractor Registration Request

IC 14399 under ICR 202410-1219-002 · OMB 1219-0040.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Independent Contractor Registration Request
 
No Modified
 
Voluntary
 
30 CFR 45.3

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 7000-52 Contractor Identification (ID) Request 7000-52 Contractor ID Request.docx https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/contractor-id-request Yes Yes Fillable Fileable
Instruction 7000-52 Intro Contractor ID Request.pdf https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/contractor-id-request Yes Yes Fillable Fileable

Workforce Management Worker Safety

DOL/MSHA-1  81 FR 25766

1,661 0
   
Private Sector Businesses or other for-profits
 
   48 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,661 0 0 113 0 1,548
Annual IC Time Burden (Hours) 221 0 0 15 0 206
Annual IC Cost Burden (Dollars) 989 0 0 183 0 806

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