Information Collection

Worker Information, Terms and Conditions of Employment

IC 13903 under ICR 199904-1215-002 · OMB 1215-0187.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0187 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Worker Information, Terms and Conditions of Employment

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH-516-ENGLISH				No	No
Form	WH-516-ESPANOL				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,625,000	2,625,000
Annual IC Time Burden (Hours)	85,333	85,333
Annual IC Cost Burden (Dollars)	24,000	24,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.