Worker Information, Terms and Conditions of Employment

ICR 199904-1215-002

OMB: 1215-0187

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
13903 Migrated
ICR Details
1215-0187 199904-1215-002
Historical Active 199603-1215-001
DOL/ESA
Worker Information, Terms and Conditions of Employment
Extension without change of a currently approved collection   No
Regular
Approved without change 05/24/1999
Retrieve Notice of Action (NOA) 04/02/1999
Approved consistent with clarification in DOL memo of 5-20-99.
  Inventory as of this Action Requested Previously Approved
02/28/2002 02/28/2002 05/31/1999
2,625,000 0 2,625,000
85,333 0 85,333
24,000 0 24,000

The Migrant and Seasonal Worker Protection Act requires farm labor contractors, agricultural employers, and agricultural associations who recruit migrant and seasonal agricultural workers to disclose in writing the terms and conditions of employment and to provide, upon request, a written statement of such terms.

None
None


No

1
IC Title Form No. Form Name
Worker Information, Terms and Conditions of Employment WH-516-ENGLISH, WH-516-ESPANOL

  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 2,625,000 2,625,000 0 0 0 0
Annual Time Burden (Hours) 85,333 85,333 0 0 0 0
Annual Cost Burden (Dollars) 24,000 24,000 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.
04/02/1999


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