Information Collection

National Agriculture Workers Survey (NAWS)

IC 13317 under ICR 200709-1205-005 · OMB 1205-0453.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0453 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,498	600	910	-356	5,344
Annual IC Time Burden (Hours)	3,411	60	-98	-121	3,570
Annual IC Cost Burden (Dollars)	0	0	0	0	0

Documents for IC

table that charts IC Documents
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.