Application For a Farm Labor Contractor Employee Certification of Registration

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⚠️ Notice: This information collection may be referencing outdated material.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 WH535 Application For a Farm Labor Contractor Employee Certification of Registration Form and Instruction
WH535 INITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACT WH-535 - FLCE_Clean.docm www.dol.gov/sites/dolgov/files/WHD/mspa/wh535.pdf Form and Instruction
WH535 INITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACT WH-535 - FLCE_Clean.docm www.dol.gov/sites/dolgov/files/WHD/mspa/wh535.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application For a Farm Labor Contractor Employee Certification 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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH535	INITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION	WH-535 - FLCE_Clean.docm	https://www.dol.gov/sites/dolgov/files/WHD/mspa/wh535.pdf	Yes	Yes	Fillable Fileable

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: 14,393	Number of Respondents for Small Entity: 14,393

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	14,393	2,360	12,033
Annual IC Time Burden (Hours)	7,197	1,180	6,017
Annual IC Cost Burden (Dollars)	2,404	-55,284	57,688

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.