Information Collection

Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate

IC 247234 under ICR 202501-1235-001 · OMB 1235-0016.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-540 Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate	Form and Instruction
Form WH-540 Application to Amend a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration, or to Request a Duplicate Certificate Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate	Form and Instruction
Form WH-540 SP Solicitud Para Enmendar Un Certificado De Registro De Contratista De Trabajo Agricola O De Empleado De Contratista De Trabajo Agricola, O Para Solicitar Un Certificado Duplicado Application to amend a farm labor contractor or farm labor contractor employee certificate of registration, or to request a duplicate certificate	Form and Instruction
WH-540 Application to Amend a Farm Labor Contractor or Farm Lab wh540.pdf www.dol.gov/sites/dolgov/files/WHD/mspa/wh540.pdf	Form and Instruction
WH-540 Application to Amend a Farm Labor Contractor or Farm Lab wh540.pdf www.dol.gov/sites/dolgov/files/WHD/mspa/wh540.pdf	Form and Instruction
WH-540 SP Solicitud Para Enmendar Un Certificado De Registro De Co wh-540_sp.pdf www.dol.gov/sites/dolgov/files/WHD/mspa/wh-540_sp.pdf	Form and Instruction
WH-540 SP Solicitud Para Enmendar Un Certificado De Registro De Co wh-540_sp.pdf www.dol.gov/sites/dolgov/files/WHD/mspa/wh-540_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-540			https://www.dol.gov/sites/dolgov/files/WHD/mspa/wh540.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	WH-540 SP			https://www.dol.gov/sites/dolgov/files/WHD/mspa/wh-540_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: 5,835

Number of Respondents for Small Entity: 5,835

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	5,835	5,835
Annual IC Time Burden (Hours)	2,918	2,918
Annual IC Cost Burden (Dollars)	974	974

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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