APPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION

ICR 199501-1215-004

OMB: 1215-0037

Federal Form Document

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ICR Details
1215-0037 199501-1215-004
Historical Active 199111-1215-002
DOL/ESA
APPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION
Revision of a currently approved collection   No
Regular
Approved without change 04/28/1995
Retrieve Notice of Action (NOA) 01/31/1995
Approved as amended by DOL's 4/28/95 memorandum, which resent responses that DOL initially sent April 4 but were not received by OMB. The conditions of clearance for the companion form 1215-0038 also apply to this form. DOL has agreed to combining these two forms into a single package for the next PRA review.
  Inventory as of this Action Requested Previously Approved
01/31/1996 01/31/1996 04/30/1995
2,200 0 0
1,100 0 1,100
0 0 0

THE MIGRANT AND SEASONAL WORKER PROTECTION ACT PROVIDES THAT NO INDIVIDUAL MAY PERFORM FARM LABOR CONTRACTING ACTIVITIES WITHOUT A CERTIFICATE OF REGISTRATION. FORM WH-512-MIS IS AN APPLICATION FORM WHICH PROVIDES THE DOL WITH THE INFORMATION NECESSARY TO ISSUE A CERTIFICATE SPECIFYING THE FARM LABOR CONTRACTING ACTIVITIES AUTHORIZED.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION WH-512-MIS

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,200 0 0 2,200 0 0
Annual Time Burden (Hours) 1,100 1,100 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/31/1995


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