Independent Contractor Registration Request

MSHA - Forms and Online Filings - Form 7000-52 - Contractor Identification (ID) Request

UNITED STATES
DEPARTMENT OF LABOR

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Mine Safety and Health Administration - MSHA

     - Protecting Miners' Safety and Health Since 1978

Form number:

MSHA Form 7000-52

Form name:

Contractor Identification (ID) Request

Description:

All independent contractors may apply for MSHA contractor identification
numbers. This information is used to assist MSHA in obtaining MSHA
identification numbers for independent contractors.

OMB Control Number and
Expiration Date:

1219-0040; 8/31/2015

Filing Options:

Form 7000-52, Contractor ID Request can be filed online.
File online

Contact Information:

Questions regarding this form should be directed to MSHA at
(877) 778-6055 or MSHAhelpdesk@dol.gov

Privacy Notice:

Privacy Notice

Legal Authority:

30 CFR 45.3

Burden Statement:

Public reporting burden for this form is estimated to average 8 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: to the USDOL-Mine Safety and
Health Administration, 201 12th Street South, Suite 4E401, Arlington, VA
22202-5452, Paperwork Reduction Project (1219-0040). NOTE: Do not
send your completed form to this address.

Complete and File Form Online
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Contact Us
U.S. Department of Labor | Mine Safety and Health Administration (MSHA) | 1100 Wilson Boulevard, 21st Floor | Arlington, VA 22209-3939
www.msha.gov | TTY | Telephone: (202) 693-9400

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