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Housing Terms and Conditions
Housing Terms and Conditions For MSPA Workers
OMB: 1235-0010
IC ID: 13820
OMB.report
DOL/WHD
OMB 1235-0010
ICR 201003-1235-010
IC 13820
( )
Documents and Forms
Document Name
Document Type
Form WH-521
Housing Terms and Conditions
Form
WH-521 Housing Terms and Conditions
wh521.pdf
www.dol.gov/esa/forms/whd/wh521.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Housing Terms and Conditions
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 500.75
29 CFR 500.1
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
WH-521
Housing Terms and Conditions
wh521.pdf
http://www.dol.gov/esa/forms/whd/wh521.pdf
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,300
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Farms
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,300
0
0
0
0
1,300
Annual IC Time Burden (Hours)
650
0
0
0
0
650
Annual IC Cost Burden (Dollars)
0
0
0
0
0
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.
