Information Collection

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

IC 43804 under ICR 202001-1235-009 · OMB 1235-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0016 can be found here:

Documents and Forms

Document Name Document Type
Form WH 530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form and Instruction
WH-530 web instruction.docx www.dol.gov/agencies/whd/forms/wh530 Instruction
WH 530 Application for a Farm Labor Contractor or Farm Labor Co WH530_Spanish_Clean 020520.docx www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH530_Sp.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	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 500.1 29 CFR 500.40

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH 530	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration (Spanish(	WH530_Spanish_Clean 020520.docx	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH530_Sp.pdf	Yes	No	Fillable Printable
Instruction			WH-530 web instruction.docx	https://www.dol.gov/agencies/whd/forms/wh530	Yes	No	Printable Only

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: 18,668	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18,668	3,642	15,026
Annual IC Time Burden (Hours)	9,334	1,821	7,513
Annual IC Cost Burden (Dollars)	145,424	99,144	46,280

Documents for IC

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.