Information Collection

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

IC 43804 under ICR 202009-1235-001 · OMB 1235-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
WH-530 web instruction.docx www.dol.gov/agencies/whd/forms/wh530	Instruction
WH530 Application for a Farm Labor Contractor Employee Certifi 1235-0016 WH530 090920 SPANISH CLEAN.docx	Form and Instruction
WH530 Application for a Farm Labor Contractor Employee Certifi 1235-0016 WH530 090320 CLEAN.docx www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh530.pdf	Form and Instruction

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 500.40 29 CFR 500.1 29 CFR 500.44-.47

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			WH-530 web instruction.docx	https://www.dol.gov/agencies/whd/forms/wh530	Yes	No	Printable Only
Form and Instruction	WH530	Application for a Farm Labor Contractor Employee Certificate of Registration (Spanish)	1235-0016 WH530 090920 SPANISH CLEAN.docx		Yes	No	Fillable Printable
Form and Instruction	WH530	Application for a Farm Labor Contractor Employee Certificate of Registration	1235-0016 WH530 090320 CLEAN.docx	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh530.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: ESA/DOL-34 and ESA/DOL-35

FR Citation: 67 FR 16818

Number of Respondents: 18,668

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	18,668	18,668
Annual IC Time Burden (Hours)	9,334	9,334
Annual IC Cost Burden (Dollars)	145,424	145,424

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.