Wage Statement

Migrant and Seasonal Agricultural Worker Protection Act Wage Statement

Documents and Forms

Document Name Document Type
Form WH-501S Wage Statement Form and Instruction
WH-501S Ley de Proteccion de los Obreros Migratorios y Estaciona WH-501S (3-24-09 Version).pdf www.dol.gov/esa/WHD/forms/Form_WH-501S.pdf Form and Instruction
WH-501 Migrant and Seasonal Agricultural Worker Protection Act WH-501E (3-24-09 Version).pdf www.dol.gov/esa/WHD/forms/Form_WH-501.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Wage Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 500.1(i)(1) 29 CFR 500.80

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-501	Migrant and Seasonal Agricultural Worker Protection Act Wage Statement	WH-501E (3-24-09 Version).pdf	http://www.dol.gov/esa/WHD/forms/Form_WH-501.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-501S	Ley de Proteccion de los Obreros Migratorios y Estacionales Agricolas, Diario De D?as Trabajados	WH-501S (3-24-09 Version).pdf	http://www.dol.gov/esa/WHD/forms/Form_WH-501S.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51,542	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 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	42,925,000	1,581,000	41,344,000
Annual IC Time Burden (Hours)	715,417	26,350	689,067
Annual IC Cost Burden (Dollars)	2,146,250	2,146,250	0

Documents for IC

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.