Information Collection

National Agriculture Workers Survey (NAWS)

IC 13317 under ICR 200901-1205-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Part A Appendix B Proposed Primary Questionnaire.pdf	Other-NAWS Questionnaire
Part A Appendix C Mental Health Questions.pdf	Other-Mental Health Questions
Part A Appendix D Injury Supplement.pdf	Other-Supplemental Injury Questionna
Part A Appendix E Migrant Head Start Questions.pdf	Other-Migrant Head Start Questions
Part A Appendix F Alcohol Questions.pdf	Other-Alcohol Questions
NAWS Employer Brochure.pdf NAWS Brochure	IC Document
NAWS Employer Letter.doc NAWS Employer Letter	IC Document
NAWS Interviewer Script for Worker Contact.doc NAWS Interviewer Script for Worker Contact	IC Document
15DEC2008CY62ENG.pdf Current NAWS Questionnaire	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	Instrument File	Available Electronically?	Electronic Capability
Other-NAWS Questionnaire	Part A Appendix B Proposed Primary Questionnaire.pdf	No	Paper Only
Other-Mental Health Questions	Part A Appendix C Mental Health Questions.pdf	No	Paper Only
Other-Supplemental Injury Questionnaire	Part A Appendix D Injury Supplement.pdf	No	Paper Only
Other-Migrant Head Start Questions	Part A Appendix E Migrant Head Start Questions.pdf	No	Paper Only
Other-Alcohol Questions	Part A Appendix F Alcohol Questions.pdf	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: 3,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,000	-3,498	6,498
Annual IC Time Burden (Hours)	3,075	-336	3,411
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NAWS Brochure	NAWS Employer Brochure.pdf	01/27/2009
NAWS Employer Letter	NAWS Employer Letter.doc	01/27/2009
NAWS Interviewer Script for Worker Contact	NAWS Interviewer Script for Worker Contact.doc	01/27/2009
Current NAWS Questionnaire	15DEC2008CY62ENG.pdf	01/27/2009

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