Information Collection

Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act

IC 13845 under ICR 201003-1235-006 · OMB 1235-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-520 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act	Form
WH-520 Housing Occupancy Certificate--Migrant and Seasonal Agri Form WH-520 (exp20080630).pdf www.dol.gov/esa/forms/whd/wh520.pdf	Form

IC Title:

Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 500.135(b)

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	WH-520	Housing Occupancy Certificate--Migrant and Seasonal Agricultural Worker Protection Act	Form WH-520 (exp20080630).pdf	http://www.dol.gov/esa/forms/whd/wh520.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: 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	100	-200	300
Annual IC Time Burden (Hours)	7	-13	20
Annual IC Cost Burden (Dollars)	0	0	0

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.