Information Collection Request

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

ICR 202405-1235-002 · OMB 1235-0016 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form WH530 INITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF REGISTRATION Form and Instruction Modified Available
Form WH530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form and Instruction Modified Repair queued
Form WH540 APPLICATION TO AMEND A FARM LABOR CONTRACTOR OR FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION, OR TO REQUEST A DUPLICATE CERTIFICATE Form and Instruction Modified Repair queued
Form WH540 Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate Form and Instruction Modified Repair queued
Form WH535 INITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION Form and Instruction Modified Available
Form WH535 Application For a Farm Labor Contractor Employee Certification of Registration Form and Instruction Modified 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 Repair queued
Form WH515 DOCTOR’S CERTIFICATE Form and Instruction Modified Available
Form WH515 MSPA Driver's Doctor's Certificate Form and Instruction Modified Repair queued
Supporting Statement 1235-0016 v3.1 (2024-07-16).docx Supporting Statement A Uploaded 2024-07-16 Repair queued
89 FR 11319 OFR notice 1235-0016 FLC (2024-02-14).pdf Supplementary Document Uploaded 2024-05-16 Repair queued
WH-535 - FLCE_11.2.23.docm Supplementary Document Uploaded 2024-05-16 Repair queued
WH-530 - FLC_11.2.23.docm Supplementary Document Uploaded 2024-05-16 Repair queued
wh515_11.2.23.docx Supplementary Document Uploaded 2024-05-16 Repair queued
WH-540 - Amendment_11.2.23.docm Supplementary Document Uploaded 2024-05-16 Repair queued
Full_WH540_All_fields.png Supplementary Document Uploaded 2024-05-16 Repair queued
Full_WH535_All_Fields.png Supplementary Document Uploaded 2024-05-16 Repair queued
Full_WH530_Corporation.png Supplementary Document Uploaded 2024-05-16 Repair queued
FLC_WH530_Individual.png Supplementary Document Uploaded 2024-05-16 Repair queued
FLC_Terms_Conditions.png Supplementary Document Uploaded 2024-05-16 Available
FLC_Dashboard_Returning_User.png Supplementary Document Uploaded 2024-05-16 Repair queued
FLC_Dashboard_New_User.png Supplementary Document Uploaded 2024-05-16 Repair queued
FLC_Contractor_Appllication_Start_Question.png Supplementary Document Uploaded 2024-05-16 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 and Instruction ModifiedINITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF REGISTRATION
43804 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form and 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 and Instruction ModifiedAPPLICATION 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 and Instruction Modified
247222 Application For a Farm Labor Contractor Employee Certification of Registration Form and Instruction ModifiedINITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION
247222 Application For a Farm Labor Contractor Employee Certification of Registration Form and Instruction Modified
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
202137 MSPA Driver's Doctor's Certificate Form and Instruction ModifiedDOCTOR’S CERTIFICATE
202137 MSPA Driver's Doctor's Certificate Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2027 36 Months From Approved 09/30/2024
58,570 0 44,672
18,329 0 15,805
1,524,890 0 987,552





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 WH535
Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration WH530
Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate WH540
MSPA Driver's Doctor's Certificate WH515
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 58,570 44,672 0 0 13,898 0
Annual Time Burden (Hours) 18,329 15,805 0 0 2,524 0
Annual Cost Burden (Dollars) 1,524,890 987,552 0 0 537,338 0


Reginfo record details
  No