Information Collection

Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions

IC 178590 under ICR 201405-1235-002 · OMB 1235-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0018 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-5 Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions	Form and Instruction
WH-5 Certificate of Training WH-5.pdf	Form and Instruction

IC Title:

Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 570.72

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 and Instruction	WH-5	Certificate of Training	WH-5.pdf		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,150

Number of Respondents for Small Entity: 9,000

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20,200	20,200
Annual IC Time Burden (Hours)	337	337
Annual IC Cost Burden (Dollars)	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.