Information Collection

Worker Information - Terms and Conditions of Employment

IC 13905 under ICR 200412-1215-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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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-ESPANOL				No	No
Form	WH-516-ENGLISH				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 129,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,594,800	1,594,797	3
Annual IC Time Burden (Hours)	68,800	-4,267	73,067
Annual IC Cost Burden (Dollars)	43,000	14,000	29,000

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.