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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form WH530 SOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA	Form and Instruction	Modified	Available
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 SOLICITUD PARA ENMENDAR UN CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA O DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA, O PARA SOLICITAR UN CERTIFICADO DUPLICADO	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	Available
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 SOLICITUD INICIAL O DE RENOVACIÓN DE UN CERTIFICADO DE REGISTRO DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA	Form and Instruction	Modified	Available
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	Missing upstream
Form WH 514a Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards	Form and Instruction	Unchanged	Available
Form WH 514 Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements	Form and Instruction	Unchanged	Available
Form WH 514 Vehicle Mechanical Inspection Report	Form and Instruction	Unchanged	Missing upstream
Form WH515 DOCTOR’S CERTIFICATE	Form and Instruction	Unchanged	Available
Form WH515 MSPA Driver's Doctor's Certificate	Form and Instruction	Unchanged	Missing upstream
1235 - 0016 Nonsubstantive Change Request (2024-09-06).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-06	Repair queued
1235 - 0016 Nonsubstantive Change Request (2024-09-06).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-09-06	Missing upstream
Supporting Statement 1235-0016 v3.1 (2024-07-16).docx	Supporting Statement A	Uploaded 2024-07-16	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
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	Available
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	Available
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	Available
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	Available
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_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_WH535_All_Fields.png	Supplementary Document	Uploaded 2024-05-16	Repair queued
Full_WH530_Corporation.png	Supplementary Document	Uploaded 2024-05-16	Available
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_WH530_Individual.png	Supplementary Document	Uploaded 2024-05-16	Repair queued
FLC_Terms_Conditions.png	Supplementary Document	Uploaded 2024-05-16	Repair queued
FLC_Terms_Conditions.png	Supplementary Document	Uploaded 2024-05-16	Repair queued
FLC_Dashboard_Returning_User.png	Supplementary Document	Uploaded 2024-05-16	Repair queued
FLC_Dashboard_Returning_User.png	Supplementary Document	Uploaded 2024-05-16	Repair queued
FLC_Dashboard_New_User.png	Supplementary Document	Uploaded 2024-05-16	Available
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	Available
FLC_Contractor_Appllication_Start_Question.png	Supplementary Document	Uploaded 2024-05-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43804	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Form and Instruction	Modified	SOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA
43804	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Form and Instruction	Modified	INITIAL 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	Modified	SOLICITUD PARA ENMENDAR UN CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA O DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA, O PARA SOLICITAR UN CERTIFICADO DUPLICADO
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	APPLICATION 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	Modified	SOLICITUD INICIAL O DE RENOVACIÓN DE UN CERTIFICADO DE REGISTRO DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA
247222	Application For a Farm Labor Contractor Employee Certification of Registration	Form and Instruction	Modified	INITIAL 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	Unchanged	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards
202140	Vehicle Mechanical Inspection Report	Form and Instruction	Unchanged	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements
202140	Vehicle Mechanical Inspection Report	Form and Instruction	Unchanged
202137	MSPA Driver's Doctor's Certificate	Form and Instruction	Unchanged	DOCTOR’S CERTIFICATE
202137	MSPA Driver's Doctor's Certificate	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1235-0016	ICR Reference No: 202409-1235-001
Status: Historical Active	Previous ICR Reference No: 202405-1235-002
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/10/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2027	08/31/2027	08/31/2027
Responses	58,570	0	58,570
Time Burden (Hours)	18,329	0	18,329
Cost Burden (Dollars)	1,524,890	0	1,524,890

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Abstract: The Migrant and Seasonal Agricultural Worker Protection Act provides that no individual may perform farm labor contracting activities without a certificate of registration. Form WH-530 is the application form that provides the Department of Labor with the information necessary to issue certificates specifying the farm labor contracting activities authorized. In addition, certain vehicle and safety standards are required of farm labor contractor applicants and such data is collected via Forms WH-514, WH-514a, WH-515, WH-530, WH-535, and WH-540.

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Authorizing Statute(s): US Code: 29 USC 1812, 1815, 1861 Name of Law: Migrant and Seasonal Agricultural Worker Protection Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 11319	02/14/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 59168	07/22/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Application For a Farm Labor Contractor Employee Certification of Registration	WH535, WH535	INITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION ,   SOLICITUD INICIAL O DE RENOVACIÓN DE UN CERTIFICADO DE REGISTRO DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA
Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	WH530, WH530	INITIAL OR RENEWAL APPLICATION FOR A FARM LABOR CONTRACTOR CERTIFICATE OF REGISTRATION ,   SOLICITUD DE CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA
Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate	WH540, WH540	APPLICATION TO AMEND A FARM LABOR CONTRACTOR OR FARM LABOR CONTRACTOR EMPLOYEE CERTIFICATE OF REGISTRATION, OR TO REQUEST A DUPLICATE CERTIFICATE ,   SOLICITUD PARA ENMENDAR UN CERTIFICADO DE REGISTRO DE CONTRATISTA DE TRABAJO AGRÍCOLA O DE EMPLEADO DE CONTRATISTA DE TRABAJO AGRÍCOLA, O PARA SOLICITAR UN CERTIFICADO DUPLICADO
MSPA Driver's Doctor's Certificate	WH515	DOCTOR’S CERTIFICATE
Vehicle Mechanical Inspection Report	WH 514, WH 514a	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements ,   Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards

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ICR Summary of Burden

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	58,570	0	0	0	0
Annual Time Burden (Hours)	18,329	18,329	0	0	0	0
Annual Cost Burden (Dollars)	1,524,890	1,524,890	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $777,823

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/10/2024

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