MSPA Driver's Doctor's Certificate

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

OMB: 1235-0016

IC ID: 202137

Documents and Forms
Information Collection (IC) Details

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MSPA Driver's Doctor's Certificate
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 500.105

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Wh-515 DOCTOR’S CERTIFICATE WH515.pdf https://www.dol.gov/whd/forms/wh515.pdf Yes No Fillable Fileable

Workforce Management Labor Rights Management

 

3,259 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits, Farms
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,259 0 0 0 0 3,259
Annual IC Time Burden (Hours) 1,412 0 0 0 0 1,412
Annual IC Cost Burden (Dollars) 224,871 0 0 0 0 224,871

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