View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Instructions for Mine ID Request _ Mine Safety and Health Administration (MSHA).pdf
https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request
Yes
Yes
Fillable Fileable
Form
MSHA Form 2000-7
Legal Identity Report
MSHA_2000-7 Legal Identity Report.pdf
https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/legal-identification-report
Yes
Yes
Fillable Fileable
Form
MSHA Form 2000-238
Representative of Miners Designation Form
MSHA_2000-238 Representative of Miners Designation Form.pdf
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
Mine Operator Identification Request
MSHA_7000-51 Mine Operator Identification Request.pdf
https://www.msha.gov/support-resources/forms-online-filing/2018/05/23/mine-id-request
Yes
Yes
Fillable Fileable
Instruction
Instructions for Representative of Miners Designation Form.pdf
https://www.msha.gov/support-resources/forms-online-filing/2015/04/15/representative-miners-designation-form
Yes
Yes
Fillable Fileable
Instruction
Instructions forLegal Identification Report _ Mine Safety and Health Administration (MSHA).pdf
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
Representative of Miners Designation Form
SCREENSHOTS Representative of Miners Designation Form MSHA Form 2000-238.docx
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
Mine Operator Identification Request
SCREENSHOTS Mine ID Request Form 7000-51.docx
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
Legal Identity Report
SCREENSHOTS Legal Identification Report Form 2000-7.docx
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
MSHA Form 2000-238 Representative of Miners Designation Form.pdf
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
MSHA Form 7000-51 Mine Operator Identification Request.pdf
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 %
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
9,522
0
0
-73
0
9,595
Annual IC Time Burden (Hours)
1,717
0
0
-106
0
1,823
Annual IC Cost Burden (Dollars)
790
0
0
10
0
780
Documents for IC
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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