Information Collection

Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration

IC 43804 under ICR 200811-1215-004 · OMB 1215-0037.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Form and Instruction
WH-530 Instructions.Final Version 3-13-09.pdf www.dol.gov/esa/whd/forms/fts_wh530.htm	Instruction
WH-530 Application for a Farm Labor Contractor or Farm Labor Co WH-530.Final Version 4-10-09.pdf www.dol.gov/esa/whd/forms/wh530.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 500.44-.47 29 CFR 500.40

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 and Instruction	WH-530	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	WH-530.Final Version 4-10-09.pdf	http://www.dol.gov/esa/whd/forms/wh530.pdf	Yes	No	Fillable Printable
Instruction			WH-530 Instructions.Final Version 3-13-09.pdf	http://www.dol.gov/esa/whd/forms/fts_wh530.htm	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: ESA/DOL-34 and ESA/DOL-35

FR Citation: 67 FR 16818

Number of Respondents: 10,611

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,611	2,811	7,800
Annual IC Time Burden (Hours)	5,306	1,406	3,900
Annual IC Cost Burden (Dollars)	4,536	2,536	2,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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