Information Collection

Violation Reporting

IC 186917 under ICR 202408-1205-001 · OMB 1205-0310.

Documents and Forms

Document Name Document Type
WH-4 Internet Instructions 091421.pdf Instruction
WH-4 Internet Instructions 091421.pdf Instruction
WH-4 Nonimmigrant Worker Information Form WH-4 Form 508 Compliant 091421.pdf Form
WH-4 Nonimmigrant Worker Information Form WH-4 Form 508 Compliant 091421.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Violation Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 655.806

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			WH-4 Internet Instructions 091421.pdf		Yes	Yes	Fillable Fileable
Form	WH-4	Nonimmigrant Worker Information Form	WH-4 Form 508 Compliant 091421.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 97	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	97	-121	218
Annual IC Time Burden (Hours)	32	-41	73
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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