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Federal forms, ICRs, and supporting documents

Information Collection Request

Housing Occupancy Certificate—Migrant and Seasonal Agricultural Worker Protection Act

ICR 201701-1235-001 · OMB 1235-0006 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form WH-520 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act Form and Instruction Unchanged Available
Migrant and Seasonal Agricultural Worker Protection Act (MSPA) - Wage and Hour Division (WHD) - U.S. Department of Labor.html Supplementary Document Uploaded 2017-01-31 Repair queued
OPM salary table Rest of US 2017.pdf Supplementary Document Uploaded 2017-01-23 Available
1235-0006 FR 60-day 11-29-16.pdf Supplementary Document Uploaded 2017-01-18 Available
MSPA.pdf Supplementary Document Uploaded 2008-03-13 Repair queued
1235-0006 Supporting Statement 04242017.doc Supporting Statement A Uploaded 2017-04-25 Available
Tri-Agency MOU.doc Supplementary Document Uploaded 2007-11-05 Available
IC Document Collections
IC IDCollectionTypeStatusForm
13845 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act Form and Instruction Unchanged
ICR Details
1235-0006 201701-1235-001
Historical Active 201402-1235-001
DOL/WHD
Housing Occupancy Certificate—Migrant and Seasonal Agricultural Worker Protection Act
Extension without change of a currently approved collection   No
Regular
Approved without change 08/03/2017
Retrieve Notice of Action (NOA) 06/05/2017
  Inventory as of this Action Requested Previously Approved
08/31/2020 36 Months From Approved 09/30/2017
100 0 100
7 0 7
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
   US Code: 29 USC 1861 Name of Law: Migrant and Seasonal Agricultural Worker Protection Act
  
None
Not associated with rulemaking
  81 FR 86018 11/29/2016
82 FR 25817 06/05/2017
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 100 100 0 0 0 0
Annual Time Burden (Hours) 7 7 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$2,856
No
No
No
No
No
Uncollected
Robert Waterman 202 693-0805 [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.
06/05/2017