Information Collection Request

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

ICR 202105-1235-001 · OMB 1235-0016 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form WH-530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form Modified Missing upstream
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 Repair queued
Form WH-535 Application For a Farm Labor Contractor Employee Certification of Registration Form New Repair queued
Form WH 514 Vehicle Mechanical Inspection Report Form and Instruction Modified Missing upstream
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 Repair queued
Edits to Instruction Page on Website 2.16.21.docx Supplementary Document Uploaded 2021-05-07 Missing upstream
1235-0016 WH530 090920 SPANISH TC.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-09-09 Repair queued
1235-0016 WH530 090320 TC.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-09-09 Repair queued
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 Repair queued
WH514_tracked_final 020520.docx Supplementary Document Uploaded 2020-02-05 Repair queued
wh515_tracked_final 020520.docx Supplementary Document Uploaded 2020-02-05 Missing upstream
1235 - 0016 FR Notice.pdf Supplementary Document Uploaded 2020-01-31 Missing upstream

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
08/31/2023 08/31/2023
44,672 34,672
15,805 13,304
987,552 995,540





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 EMPLOYEE CERTIFICATE OF REGISTRATION ,   SOLICITUD DE CERTIFICADO DE REGISTRO DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA
Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration WH-530, WH-530 APPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF REGISTRATION ,   SOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA
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 APPLICATION TO AMEND A FARM LABOR CONTRACTOR OR FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION, OR TO REQUEST A DUPLICATE CERTIFICATE ,   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
MSPA Driver's Doctor's Certificate WH 515 MSPA Doctor's Certificate
Vehicle Mechanical Inspection Report WH 514, WH 514a Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements ,   Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards

table that charts list of burden
  Total Request 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