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 Solicitud para Contratista de Trabajo Agricola o Empleado de Contratista de Trabajo Agricola Certificado de Registro Le de Proteccion al Trabajador Agricola Migrante y Temporal	Form and Instruction	Modified	Available
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 Report for Transportation Subject to Department of Labor Safety Standards	Form and Instruction	Unchanged	Available
Form SH-514 Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements	Form and Instruction	Unchanged	Available
Form WH-515 Doctor's Certificate	Form and Instruction	Unchanged	Available
Justification for nonmaterial change 1235-0016.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-02-14	Available
wh-530 online instruction trak chg.docx	Supplementary Document	Uploaded 2016-10-27	Available
wh530 track changes.pdf	Supplementary Document	Uploaded 2016-10-27	Available
Justification for nonsubstantive change request(20161028).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-10-28	Repair queued
WH515 revised with comments 20150310.docx	Supplementary Document	Uploaded 2015-06-04	Repair queued
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	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	Solicitud para Contratista de Trabajo Agricola o Empleado de Contratista de Trabajo Agricola Certificado de Registro Le de Proteccion al Trabajador Agricola Migrante y Temporal
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	Unchanged	Vehicle Mechanical Report for Transportation Subject to Department of Labor Safety Standards
202140	Vehicle Mechanical Inspection Report	Form and Instruction	Unchanged	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements
202137	MSPA Driver's Doctor's Certificate	Form and Instruction	Unchanged	Doctor's Certificate

ICR Details

OMB Control No: 1235-0016	ICR Reference No: 201702-1235-001
Status: Historical Active	Previous ICR Reference No: 201610-1235-002
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: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/01/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/14/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2018	11/30/2018	11/30/2018
Responses	23,196	0	23,196
Time Burden (Hours)	9,334	0	9,334
Cost Burden (Dollars)	447,354	0	447,354

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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.

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Authorizing Statute(s): US Code: 29 USC 1812, 1815, 1861 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:
	80 FR 15822	03/25/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 46604	08/05/2015
Did the Agency receive public comments on this ICR? Yes

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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, WH-530	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Migrant and Seasonal Agricultural Worker Protection Act ,   Solicitud para Contratista de Trabajo Agricola o Empleado de Contratista de Trabajo Agricola Certificado de Registro Le de Proteccion al Trabajador Agricola Migrante y Temporal
MSPA Driver's Doctor's Certificate	WH-515	Doctor's Certificate
Vehicle Mechanical Inspection Report	WH-514a, SH-514	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements ,   Vehicle Mechanical 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	23,196	23,196	0	0	0	0
Annual Time Burden (Hours)	9,334	9,334	0	0	0	0
Annual Cost Burden (Dollars)	447,354	447,354	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $139,671

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: 02/14/2017

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