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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form WH-530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Migrant and Seasonal Agricultural Worker Protection Act	Form and Instruction	Modified	Available
Form WH-514a Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards	Form and Instruction	New	Available
Form WH-514 Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements	Form and Instruction	New	Available
Form WH-515 Doctors Certificate	Form and Instruction	New	Available
1235-0016_ss_(05-30-2012).doc	Supporting Statement A	Uploaded 2012-05-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43804	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Form and Instruction	Modified	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Migrant and Seasonal Agricultural Worker Protection Act
43804	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Instruction	Modified
202140	Vehicle Mechanical Inspection Report	Form and Instruction	New	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards
202140	Vehicle Mechanical Inspection Report	Form and Instruction	New	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements
202137	MSPA Driver's Doctor's Certificate	Form and Instruction	New	Doctors Certificate

ICR Details

OMB Control No: 1235-0016	ICR Reference No: 201205-1235-001
Status: Historical Active	Previous ICR Reference No: 201003-1235-016
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/07/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/06/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	08/31/2012
Responses	21,139	0	10,611
Time Burden (Hours)	8,761	0	5,306
Cost Burden (Dollars)	356,251	0	4,536

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Abstract: The Migrant and Seasonal Agricultural Worker Protection Act provides that no individual may perform farm labor contracting activities without a certificate of registration. Form WH-530 is the application form that provides the Department of Labor with the information necessary to issue certificates specifying the farm labor contracting activities authorized. In addition, certain vehicle and safety standards are required of farm labor contractor applicants and such data is collected via forms WH-514, WH-514a and WH-515. This ICR proposes to combine collections under 1235-0016 and 1235-0017.

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Authorizing Statute(s): US Code: 29 USC 1801, et seq. Name of Law: Migrant and Seasonal Agricultural Worker Protection Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 12330	02/29/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 33490	06/06/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	WH-530	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Migrant and Seasonal Agricultural Worker Protection Act
MSPA Driver's Doctor's Certificate	WH-515	Doctors Certificate
Vehicle Mechanical Inspection Report	WH-514, WH-514a	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements ,   Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	21,139	10,611	0	3,900	6,628	0
Annual Time Burden (Hours)	8,761	5,306	0	885	2,570	0
Annual Cost Burden (Dollars)	356,251	4,536	0	215,100	136,615	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Department proposes to combine collections previously submitted under 1235-0016 and 1235-0017 into one collection. As a result, the burden submitted here shows an increase. In addition, the WH-530 forms received over the last reporting period reflects a 33% increase in respondents.

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Annual Cost to Federal Government: $97,125

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/06/2012

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