Application for a Farm Labor Contractor Employee Certification of Registration

ICR 199506-1215-011

OMB: 1215-0037

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1215-0037 199506-1215-011
Historical Active 199501-1215-004
DOL/ESA
Application for a Farm Labor Contractor Employee Certification of Registration
Revision of a currently approved collection   No
Regular
Approved without change 09/12/1995
Retrieve Notice of Action (NOA) 06/21/1995
Approved; DOL correspondence of 09/05/95 and 09/07/95 accepted. In addition DOL shall meet the following conditions: --DOL shall actively encourage more use of consolidated Federal/ State Certificates which currently exist only in Florida. --DOL shall reexamine language concerning the consolidated certificate and provide compelling justification for its current format. --DOL shall combine into a single package OMB 1215-0037 and OMB 1215-0038 upon next submission. --The conditions of clearance for the companion form 1215-0038 also apply to this form.
  Inventory as of this Action Requested Previously Approved
04/30/1998 04/30/1998 01/31/1996
2,700 0 0
1,350 0 1,100
0 0 0

The Migrant and Seasonal Agricultural 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 which provides the Department of Labor 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 Certification 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 2,700 0 0 0 2,700 0
Annual Time Burden (Hours) 1,350 1,100 0 0 250 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.
06/21/1995


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