Information Collection

Worker Information - Terms and Conditions of Employment

IC 13904 under ICR 200112-1215-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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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:

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: 137,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3	0	-2,624,997	2,625,000
Annual IC Time Burden (Hours)	73,067	0	-12,266	85,333
Annual IC Cost Burden (Dollars)	29,000	5,000	0	24,000

Documents for IC

Title	Document	Date Uploaded

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