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Federal forms, ICRs, and supporting documents

Information Collection Request

Housing Occupancy Certificate—Migrant and Seasonal Agricultural Worker Protection Act

ICR 202302-1235-001 · OMB 1235-0006 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form WH-520 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act Form and Instruction Modified Repair queued
SS 1235-0006 v3.1 (2023-08-30).docx Supporting Statement A Uploaded 2023-08-30 Available
60-day FR Notice 1235-0006 (2023-02-28).pdf Supplementary Document Uploaded 2023-05-02 Repair queued
First Line Supervisor - Hourly Wage 2022 (BLS).pdf Supplementary Document Uploaded 2023-05-02 Repair queued
OSHA, ESA, and ETA agreement on inspections of migrant housing.pdf Supplementary Document Uploaded 2023-02-15 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
13845 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act Form and Instruction Modified
ICR Details
1235-0006 202302-1235-001
Received in OIRA 202004-1235-006
DOL/WHD
Housing Occupancy Certificate—Migrant and Seasonal Agricultural Worker Protection Act
Extension without change of a currently approved collection   No
Regular 09/07/2023
  Requested Previously Approved
36 Months From Approved 10/31/2023
10 20
1 1
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 the 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
  88 FR 12700 02/28/2023
88 FR 61617 09/07/2023
No
  Total Request 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 10 20 0 0 -10 0
Annual Time Burden (Hours) 1 1 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1
No
    No
    No
No
No
No
No
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.
09/07/2023