OMB control number

Independent Contractor Registration and Identification

OMB 1219-0040 · DOL/MSHA.

OMB 1219-0040

Title 30 CFR part 45, Independent Contractors, sets forth information requirements and procedures for independent contractors to obtain a Mine Safety and Health Administration (MSHA) identification number and procedures for service of documents upon independent contractors. The information collections associated with this information collection support the appropriate assessment of fines for violations by independent contractors and the deterrent effect of MSHA enforcement actions on independent contractors.

The latest form for Independent Contractor Registration and Identification expires 2028-02-29 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 7000-52 Independent Contractor Registration Request Form and Instruction
1219-0040 Supporting Statement 2025.docx Supporting Statement A
1219-0040 60-Day FRN Published 10-4-2024.pdf Supplementary Document
Independent Contractor Registry Submission to Mine Operator
Mine Operator Contractor Registry
Independent Contractor Registration Request Form and Instruction

All Historical Document Collections

202410-1219-002	Extension without change of a currently approved collection	2025-01-23
202103-1219-006 Approved with change	Extension without change of a currently approved collection	2021-12-10
201809-1219-002 Approved without change	Extension without change of a currently approved collection	2018-11-30
201609-1219-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-09-08
201408-1219-002 Approved without change	Extension without change of a currently approved collection	2015-08-06
201111-1219-001 Approved without change	Extension without change of a currently approved collection	2012-06-28
200901-1219-003 Approved without change	Extension without change of a currently approved collection	2009-01-29
200512-1219-001 Approved without change	Extension without change of a currently approved collection	2005-12-20
200502-1219-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-02-07
200308-1219-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2003-08-14
200212-1219-003 Approved without change	Extension without change of a currently approved collection	2002-12-27
199910-1219-002 Approved without change	Extension without change of a currently approved collection	1999-10-15
199610-1219-002 Approved without change	Reinstatement without change of a previously approved collection	1996-10-18
199304-1219-002 Approved without change	Revision of a currently approved collection	1993-04-20
199110-1219-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-10-24
199004-1219-007 Approved without change	Revision of a currently approved collection	1990-04-24
198910-1219-025 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-10-01
198810-1219-027 Approved with change	No material or nonsubstantive change to a currently approved collection	1988-10-01
198708-1219-012 Approved with change	No material or nonsubstantive change to a currently approved collection	1987-08-04
198706-1219-006 Approved without change	Revision of a currently approved collection	1987-06-03
198609-1219-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-09-12
198601-1219-025 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-01-13
198409-1219-003 Approved without change	Revision of a currently approved collection	1984-09-17
198305-1219-041 Approved with change	No material or nonsubstantive change to a currently approved collection	1983-05-27
198209-1219-003 Approved without change	Revision of a currently approved collection	1982-09-20
198111-1219-030 Approved without change	New collection (Request for a new OMB Control Number)	1981-11-20

OMB Details

Independent Contractor Registration Request

Federal Enterprise Architecture: Workforce Management - Worker Safety

Form 7000-52	Contractor Identification (ID) Request	www.msha.gov/support-resources/forms-online-filing/2015/04/15/contractor-id-request	Form and instruction
Form		www.msha.gov/support-resources/forms-online-filing/2015/04/15/contractor-id-request	Instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.