Information Collection Request

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

ICR 202105-1235-001 · OMB 1235-0016 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form WH-530 SOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA Form Modified Available
Form WH-530 APPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF REGISTRATION Form Modified Available
Form WH-530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form Modified Available
Form WH-540 SOLICITUD PARA ENMENDAR UN CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA O DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA, O PARA SOLICITAR UN CERTIFICADO DUPLICADO Form New Available
Form WH-540 APPLICATION TO AMEND A FARM LABOR CONTRACTOR OR FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION, OR TO REQUEST A DUPLICATE CERTIFICATE Form New Available
Form WH-540 Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate Form New Available
Form WH-535 SOLICITUD DE CERTIFICADO DE REGISTRO DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA Form New Available
Form WH-535 APPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION Form New Available
Form WH-535 Application For a Farm Labor Contractor Employee Certification of Registration Form New Repair queued
Form WH 514a Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards Form and Instruction Modified Available
Form WH 514 Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements Form and Instruction Modified Available
Form WH 514 Vehicle Mechanical Inspection Report Form and Instruction Modified Available
Form WH 515 MSPA Doctor's Certificate Form and Instruction Modified Repair queued
Form WH 515 MSPA Driver's Doctor's Certificate Form and Instruction Modified Repair queued
1235-0016 Supporting Statement v9.7 (2021-06-22).docx Supporting Statement A Uploaded 2021-06-22 Repair queued
List of Changes - WH-540.docx Supplementary Document Uploaded 2021-05-07 Repair queued
List of Changes - WH-535.docx Supplementary Document Uploaded 2021-05-07 Repair queued
List of Changes - WH-530.docx Supplementary Document Uploaded 2021-05-07 Available
Edits to Instruction Page on Website 2.16.21.docx Supplementary Document Uploaded 2021-05-07 Repair queued
1235-0016 WH530 090920 SPANISH TC.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-09-09 Missing upstream
1235-0016 WH530 090320 TC.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-09-09 Available
1235 - 0016 WH530 Nonsubstantive Change.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-09-09 Repair queued
wh514a_tracked_final 020520.docx Supplementary Document Uploaded 2020-02-05 Available
WH514_tracked_final 020520.docx Supplementary Document Uploaded 2020-02-05 Repair queued
wh515_tracked_final 020520.docx Supplementary Document Uploaded 2020-02-05 Repair queued
1235 - 0016 FR Notice.pdf Supplementary Document Uploaded 2020-01-31 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 ModifiedSOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA
43804 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form ModifiedAPPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF REGISTRATION
43804 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form Modified
43804 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Instruction Modified
247234 Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate Form NewSOLICITUD PARA ENMENDAR UN CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA O DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA, O PARA SOLICITAR UN CERTIFICADO DUPLICADO
247234 Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate Form NewAPPLICATION TO AMEND A FARM LABOR CONTRACTOR OR FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION, OR TO REQUEST A DUPLICATE CERTIFICATE
247234 Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate Form New
247234 Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate Instruction New
247222 Application For a Farm Labor Contractor Employee Certification of Registration Form NewSOLICITUD DE CERTIFICADO DE REGISTRO DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA
247222 Application For a Farm Labor Contractor Employee Certification of Registration Form NewAPPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION
247222 Application For a Farm Labor Contractor Employee Certification of Registration Form New
247222 Application For a Farm Labor Contractor Employee Certification of Registration Instruction New
202140 Vehicle Mechanical Inspection Report Form and Instruction ModifiedVehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards
202140 Vehicle Mechanical Inspection Report Form and Instruction ModifiedVehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements
202140 Vehicle Mechanical Inspection Report Form and Instruction Modified
202140 Vehicle Mechanical Inspection Report Instruction Modified
202137 MSPA Driver's Doctor's Certificate Form and Instruction ModifiedMSPA Doctor's Certificate
202137 MSPA Driver's Doctor's Certificate Form and Instruction Modified
202137 MSPA Driver's Doctor's Certificate Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2024 08/31/2023 08/31/2023
44,672 0 34,672
15,805 0 13,304
987,552 0 995,540





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Application For a Farm Labor Contractor Employee Certification of Registration WH-535, WH-535 ,  
Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration WH-530, WH-530 ,  
Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate WH-540, WH-540 ,  
MSPA Driver's Doctor's Certificate WH 515
Vehicle Mechanical Inspection Report WH 514, WH 514a ,  

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 44,672 34,672 0 22,033 -12,033 0
Annual Time Burden (Hours) 15,805 13,304 0 8,517 -6,016 0
Annual Cost Burden (Dollars) 987,552 995,540 0 105,628 -113,616 0


Reginfo record details
  No