Information Collection

Agricultural Labor

IC 1117 under ICR 201712-0535-001 · OMB 0535-0109.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0535-0109 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form QID 150028 Agricultural Labor	Form and Instruction
QID 150028 Agricultural Labor Survey - April 2018 - Original Versio 0109 - Ag Labor Operator - Original Questionnaire - Feb 23 2018 - FINAL.docx	Form and Instruction
QID 150028 Agricultural Labor Survey - April 2018 - Test Version 0109 - Ag Labor Operator - New Questionnaire - Feb 23 2018 - FINAL.docx	Form and Instruction
QID 150028Q Agricultural Labor Survey - Quality Control Worksheet 0109 - Agricultural Labor - Quality Control Form.docx	Form and Instruction

IC Title:

Agricultural Labor

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	QID 150028	Agricultural Labor Survey - April 2018 - Test Version	0109 - Ag Labor Operator - New Questionnaire - Feb 23 2018 - FINAL.docx	Yes	Yes	Fillable Fileable
Form and Instruction	QID 150028Q	Agricultural Labor Survey - Quality Control Worksheet	0109 - Agricultural Labor - Quality Control Form.docx	No		Paper Only
Form and Instruction	QID 150028	Agricultural Labor Survey - April 2018 - Original Version	0109 - Ag Labor Operator - Original Questionnaire - Feb 23 2018 - FINAL.docx	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title: SORN

FR Citation: 74 FR 79

Number of Respondents: 12,833

Number of Respondents for Small Entity: 11,200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 3 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	52,033	2,240	7,393	42,400
Annual IC Time Burden (Hours)	15,017	1,120	1,697	12,200
Annual IC Cost Burden (Dollars)	0	0	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.