Information Collection

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

IC 43804 under ICR 202501-1235-001 · OMB 1235-0016.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Form and Instruction
Form WH-530 Application for a Farm Labor Contractor Certificate of Registration Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Form and Instruction
Form WH-530SP Solicitud De Certificado De Registro De Contratista De Trabajo Agricola Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Form and Instruction
WH-530 Application for a Farm Labor Contractor Certificate of R wh530.pdf www.dol.gov/agencies/whd/forms/wh530	Form and Instruction
WH-530 Application for a Farm Labor Contractor Certificate of R wh530.pdf www.dol.gov/agencies/whd/forms/wh530	Form and Instruction
WH-530SP Solicitud De Certificado De Registro De Contratista De T wh-530_sp.pdf www.dol.gov/agencies/whd/forms/wh530	Form and Instruction
WH-530SP Solicitud De Certificado De Registro De Contratista De T wh-530_sp.pdf www.dol.gov/agencies/whd/forms/wh530	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 29 CFR 500.40 29 CFR 500.1

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-530			https://www.dol.gov/agencies/whd/forms/wh530	Yes	Yes	Fillable Fileable
Form and Instruction	WH-530SP			https://www.dol.gov/agencies/whd/forms/wh530	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: 6,475

Number of Respondents for Small Entity: 6,475

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	6,475	6,475
Annual IC Time Burden (Hours)	3,238	3,238
Annual IC Cost Burden (Dollars)	1,081	1,081

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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