Information Collection

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

IC 43804 under ICR 201904-1235-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 WH530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form
WH530 Instructions CLEAN.docx www.dol.gov/whd/forms/fts_wh530.htm Instruction
WH530 Application for a Farm Labor Contractor or Farm Labor Co WH530 Form Final.pdf www.dol.gov/whd/forms/wh530.pdf Form
WH-530 Solicitud para Contratista de Trabajo Agrícola o Emplead WH530 Spanish Final.pdf www.dol.gov/whd/forms/WH530_Sp.pdf Form and Instruction
WH530 Instructions TC.docx WH 530 Instructions Tracked Changes IC Document
WH530 Spanish Form TC.pdf Solicitud para Contratista de Trabajo Agrícola o Empleado de Contratista de Trabajo Agrícola Certificado de Registro Ley de Prot IC Document
WH530 Form TC.pdf Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Registration Requirement U IC Document

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 500.40 29 CFR 500.44-.47 29 CFR 500.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH530	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Registration Requirement Under The Migrant and Seasonal Agricultural Worker Protection Act (MSPA)	WH530 Form Final.pdf	https://www.dol.gov/whd/forms/wh530.pdf	Yes	No	Fillable Fileable
Form and Instruction	WH-530	Solicitud para Contratista de Trabajo AgrÃcola o Empleado de Contratista de Trabajo AgrÃcola Certificado de Registro Ley de ProtecciÃ³n al Trabajador AgrÃcola Migrante y Temporal	WH530 Spanish Final.pdf	https://www.dol.gov/whd/forms/WH530_Sp.pdf	Yes	No	Fillable Printable
Instruction			WH530 Instructions CLEAN.docx	https://www.dol.gov/whd/forms/fts_wh530.htm	Yes	No	Fillable Printable

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: 15,026	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15,026	15,026
Annual IC Time Burden (Hours)	7,513	7,513
Annual IC Cost Burden (Dollars)	46,280	46,280

Documents for IC

Title	Document	Date Uploaded
WH 530 Instructions Tracked Changes	WH530 Instructions TC.docx	04/10/2019
Solicitud para Contratista de Trabajo AgrÃcola o Empleado de Contratista de Trabajo AgrÃcola Certificado de Registro Ley de ProtecciÃ³n al Trabajador AgrÃcola Migrante y Temporal	WH530 Spanish Form TC.pdf	04/10/2019
Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Registration Requirement Under The Migrant and Seasonal Agricultural Worker Protection Act (MSPA)	WH530 Form TC.pdf	04/10/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.