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Federal forms, ICRs, and supporting documents

Information Collection

Worker Information - Terms and Conditions of Employment

IC 13905 under ICR 200707-1215-005 · OMB 1215-0187.

Documents and Forms
Document Name
Document Type
Form
Form
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Information Collection (IC) Details

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Worker Information - Terms and Conditions of Employment
 
No Modified
 
Mandatory
 
29 CFR 500.75 29 CFR 500.76

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form WH-516-ENGLISH Worker Information-Terms and Conditions of Employment Form_WH-516_English.pdf http://www.dol.gov/esa/forms/whd/Form_WH-516_English.PDF Yes No Fillable Printable
Form WH-516-ESPANOL Informacion Sobre el Trabajador-Terminos y Condiciones de Empleo WH-516_Spanish.pdf http://www.dol.gov/esa/forms/whd/WH-516_Spanish.PDF Yes No Fillable Printable

Workforce Management Labor Rights Management

 

129,250 100,000
   
Private Sector Farms
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,102,000 0 0 1,507,200 0 1,594,800
Annual IC Time Burden (Hours) 77,550 0 0 8,750 0 68,800
Annual IC Cost Burden (Dollars) 93,060 0 0 50,060 0 43,000

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