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Federal forms, ICRs, and supporting documents

Information Collection Request

Housing Occupancy Certificate--Migrant and Seasonal Agricultural Worker Protection Act

ICR 200711-1215-001 · OMB 1215-0158 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form WH-520 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act Form Modified Repair queued
29 CFR 500.pdf Supplementary Document Uploaded 2008-03-13 Available
MSPA.pdf Supplementary Document Uploaded 2008-03-13 Available
WH520 SS(20071114).doc Supporting Statement A Uploaded 2008-03-14 Available
Tri-Agency MOU.doc Supplementary Document Uploaded 2007-11-05 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
13845 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act Form Modified
ICR Details
1215-0158 200711-1215-001
Historical Active 200504-1215-003
DOL/ESA
Housing Occupancy Certificate--Migrant and Seasonal Agricultural Worker Protection Act
Extension without change of a currently approved collection   No
Regular
Approved without change 05/28/2008
Retrieve Notice of Action (NOA) 04/25/2008
  Inventory as of this Action Requested Previously Approved
05/31/2011 36 Months From Approved 06/30/2008
100 0 300
7 0 20
0 0 0
Any person who owns or controls a facility or real property to be used for housing migrant agricultural workers cannot permit any such worker to occupy the housing unless a copy of a certificate of occupancy from the state, local, or federal agency that conducted the housing safety and health inspection is posted at the site of the facility or real property. The certificate attests that the facility or real property meets applicable safety and health standards. The housing provider must retain original copy of the certificate for three years and make it available for inspection. Form WH-520 is the form used when the Department of Labor's Wage and Hour Division inspects and approves such housing.
US Code: 29 USC 1823(b)(1) Name of Law: Migrant and Seasonal Agricultural Worker Protection Act
  
None
Not associated with rulemaking
  72 FR 70617 12/12/2007
73 FR 22432 04/25/2008
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 300 0 0 -200 0
Annual Time Burden (Hours) 7 20 0 0 -13 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The DOL has decreased the annual burden estimate to seven hours for 100 respondents, down from 20 hours for 300 respondents, based on the actual number of requests for the WHD to provide the housing certification in recent years. The burden estimate per form remains unchanged.
$2,582
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Michel Smyth 202 693-0638 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/25/2008