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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form WH-530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form
Edits to Instruction Page on Website 2.16.21.docx Instruction
Edits to Instruction Page on Website 2.16.21.docx Instruction
WH-530 APPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF R WH-530 - FLC_clean.docm www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh530.pdf Form
WH-530 APPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF R WH-530 - FLC_clean.docm www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh530.pdf Form
WH-530 SOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE T WH-530 FLC Form SPANISH.docm www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH530_Sp.pdf Form
WH-530 SOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE T WH-530 FLC Form SPANISH.docm www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH530_Sp.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

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 500.44-.47 29 CFR 500.40 29 CFR 500.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH-530	APPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF REGISTRATION	WH-530 - FLC_clean.docm	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh530.pdf	Yes	No	Fillable Printable
Form	WH-530	SOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA	WH-530 FLC Form SPANISH.docm	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH530_Sp.pdf	Yes	No	Fillable Printable
Instruction			Edits to Instruction Page on Website 2.16.21.docx		Yes	No	Printable Only

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: 6,635	Number of Respondents for Small Entity: 6,171

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,635	-12,033	18,668
Annual IC Time Burden (Hours)	3,318	-6,016	9,334
Annual IC Cost Burden (Dollars)	31,808	-113,616	145,424

Documents for IC

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.