Information Collection Request

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

ICR 201505-1235-001 · OMB 1235-0016 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form WH-530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form and Instruction Modified Available
Form SH-514 Vehicle Mechanical Inspection Report Form and Instruction Modified Repair queued
Form WH-515 MSPA Driver's Doctor's Certificate Form and Instruction Modified Repair queued
WH515 revised with comments 20150310.docx Supplementary Document Uploaded 2015-06-04 Available
DRAFT List of Revised Items on MSPA Forms.2015.docx Supplementary Document Uploaded 2015-06-04 Available
bls oes FLC data May 2014.pdf Supplementary Document Uploaded 2015-06-01 Available
1235-0016 sixty day FR notice 2015-03-25.pdf Supplementary Document Uploaded 2015-05-28 Available
1235-0016 ss (20150731).doc Supporting Statement A Uploaded 2015-07-31 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43804 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form and Instruction Modified
202140 Vehicle Mechanical Inspection Report Form and Instruction Modified
202137 MSPA Driver's Doctor's Certificate Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2018 36 Months From Approved 11/30/2015
23,196 0 21,139
9,334 0 8,761
447,354 0 356,251





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 23,196 21,139 0 0 2,057 0
Annual Time Burden (Hours) 9,334 8,761 0 0 573 0
Annual Cost Burden (Dollars) 447,354 356,251 0 0 91,103 0


Reginfo record details
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