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
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

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 MSPA Doctor's Certificate wh515_clean_final 030920.docx https://www.dol.gov/whd/forms/wh515.pdf Yes No Fillable Printable
Instruction Edits to Instruction Page on Website 2.16.21.docx Yes No Printable Only

Workforce Management Labor Rights Management

ESA/DOL-34 and ESA/DOL-35  67 FR 16818

7,532 7,005
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   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 7,532 0 0 0 0 7,532
Annual IC Time Burden (Hours) 3,264 0 0 0 0 3,264
Annual IC Cost Burden (Dollars) 519,708 0 0 0 0 519,708

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