Violation Reporting

Labor Condition Application for H-1B, H-1B1, and E-3 Non-immigrants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0310 can be found here:

Documents and Forms

Document Name Document Type
Form WH-4 Violation Reporting Form and Instruction
WH-4 Nonimmigrant Worker Information Form WH-4.doc www.dol.gov/whd/forms/wh-4.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Violation Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 655.806

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-4	Nonimmigrant Worker Information Form	WH-4.doc	http://www.dol.gov/whd/forms/wh-4.pdf	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 425	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	425	425
Annual IC Time Burden (Hours)	142	142
Annual IC Cost Burden (Dollars)	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.