Information Collection

Application For a Farm Labor Contractor Employee Certification of Registration

IC 247222 under ICR 202501-1235-001 · OMB 1235-0016.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-535 Application For a Farm Labor Contractor Employee Certification of Registration	Form and Instruction
Form WH-535 Application for a Farm Labor Contractor Employee Certificate of Registration (Application for "Blue Card") Application For a Farm Labor Contractor Employee Certification of Registration	Form and Instruction
Form WH- 535 SP Solicitud De Certificado De Registro De Empleado De Contratista De Trabajo Agricola (Solicitud De "Tarjeta Azul") Application For a Farm Labor Contractor Employee Certification of Registration	Form and Instruction
WH-535 Application for a Farm Labor Contractor Employee Certifi wh535.pdf www.dol.gov/sites/dolgov/files/WHD/mspa/wh535.pdf	Form and Instruction
WH-535 Application for a Farm Labor Contractor Employee Certifi wh535.pdf www.dol.gov/sites/dolgov/files/WHD/mspa/wh535.pdf	Form and Instruction
WH- 535 SP Solicitud De Certificado De Registro De Empleado De Cont wh-535_sp.pdf www.dol.gov/sites/dolgov/files/WHD/mspa/wh-535_sp.pdf	Form and Instruction
WH- 535 SP Solicitud De Certificado De Registro De Empleado De Cont wh-535_sp.pdf www.dol.gov/sites/dolgov/files/WHD/mspa/wh-535_sp.pdf	Form and Instruction

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-535			https://www.dol.gov/sites/dolgov/files/WHD/mspa/wh535.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	WH- 535 SP			https://www.dol.gov/sites/dolgov/files/WHD/mspa/wh-535_sp.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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	14,393	14,393
Annual IC Time Burden (Hours)	7,197	7,197
Annual IC Cost Burden (Dollars)	2,404	2,404

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.

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