Information Collection

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

IC 43804 under ICR 202105-1235-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 AGRÃCOLA	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 %

table that charts list of burden
	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

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.