Information Collection Request

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

ICR 202405-1235-002 · OMB 1235-0016 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
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 WH535 Application For a Farm Labor Contractor Employee Certification of Registration Form and Instruction Modified Repair queued
Form WH 514 Vehicle Mechanical Inspection Report Form and Instruction Modified Repair queued
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 Missing upstream
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 Missing upstream
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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2024
58,570 44,672
18,329 15,805
1,524,890 987,552





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 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