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Federal forms, ICRs, and supporting documents

Information Collection

Housing Terms and Conditions for Migrant Agricultural Workers

IC 195676 under ICR 202210-1235-003 · OMB 1235-0002.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Housing Terms and Conditions for Migrant Agricultural Workers 200712-1215-004
 
No Modified
 
Mandatory
 
29 CFR 500.75 29 CFR 500.1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-521 Housing Terms and Conditions English/Spanish WH-521 Revised v2.0 (2023-06-15).docx https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh521.pdf Yes No Fillable Printable

Workforce Management Labor Rights Management

 

1,300 1,274
   
Private Sector Businesses or other for-profits, Farms
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,300 0 0 0 0 1,300
Annual IC Time Burden (Hours) 650 0 0 0 0 650
Annual IC Cost Burden (Dollars) 52 0 0 0 0 52

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