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National Agriculture Workers Survey (NAWS)
National Agriculture Workers Survey (NAWS)
OMB: 1205-0453
IC ID: 13317
OMB.report
DOL/ETA
OMB 1205-0453
ICR 200709-1205-005
IC 13317
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0453 can be found here:
2022-01-07 - Revision of a currently approved collection
2019-11-22 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1205-0453
National Agriculture Workers Survey (NAWS)
Form
1205-0453 NAWS Questionnaire
1205-0453 NAWS Primary Questionnaire_10.07.08.pdf
www.doleta.gov/agworker/naws.cfm
Form
1205-0453_Appendix_A_NAWS 60 day FRN 9 05 2007.pdf
Appendix A
IC Document
1205-0453_Appendix_C_NAWS_MENTAL_HEALTH_9.04.07.pdf
Appendix C
IC Document
1205-0453_Appendix_D_Injury_Supplement_9.04.07.pdf
Appendix D
IC Document
1205-0453_Appendix_E_NAWS_Currently_Approved_Primary_Questionnaire_9.04.07.pdf
Appendix E
IC Document
1205-0453_Appendix_F_Migrant_Head_Start_Questions.pdf
Appendix F
IC Document
1205-0453_Appendix_G_Alcohol_Questions.pdf
Appendix G
IC Document
1205-0453_Appendix_H.1_NAWS Brochure Jacket_9.04.07.pdf
Appendix H.1
IC Document
1205-0453_Appendix_H.2_NAWS Brochure Insert_9.04.07.pdf
Appendix H.2
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Agriculture Workers Survey (NAWS)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
1205-0453
NAWS Questionnaire
1205-0453 NAWS Primary Questionnaire_10.07.08.pdf
http://www.doleta.gov/agworker/naws.cfm
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
DOL/ASP-1
FR Citation:
67 FR 16815
Number of Respondents:
4,008
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
6,498
600
910
-356
0
5,344
Annual IC Time Burden (Hours)
3,411
60
-98
-121
0
3,570
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix A
1205-0453_Appendix_A_NAWS 60 day FRN 9 05 2007.pdf
03/19/2008
Appendix C
1205-0453_Appendix_C_NAWS_MENTAL_HEALTH_9.04.07.pdf
03/19/2008
Appendix D
1205-0453_Appendix_D_Injury_Supplement_9.04.07.pdf
03/19/2008
Appendix E
1205-0453_Appendix_E_NAWS_Currently_Approved_Primary_Questionnaire_9.04.07.pdf
03/19/2008
Appendix F
1205-0453_Appendix_F_Migrant_Head_Start_Questions.pdf
03/19/2008
Appendix G
1205-0453_Appendix_G_Alcohol_Questions.pdf
03/19/2008
Appendix H.1
1205-0453_Appendix_H.1_NAWS Brochure Jacket_9.04.07.pdf
03/19/2008
Appendix H.2
1205-0453_Appendix_H.2_NAWS Brochure Insert_9.04.07.pdf
03/19/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.