Information Collection

Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act

IC 13845 under ICR 202609-1235-002 · OMB 1235-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-520 Housing Occupancy Certificate- Migrant and Seasonal Agricultural Protection Act Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act	Form and Instruction
WH-520 Housing Occupancy Certificate- Migrant and Seasonal Agri wh520 Housing Occ Certif. MSPA.pdf www.dol.gov/agencies/whd/forms	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 500.135(b)

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-520			https://www.dol.gov/agencies/whd/forms	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 10

Affected Public: Private Sector

Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

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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