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Federal forms, ICRs, and supporting documents

Information Collection

Application For a Farm Labor Contractor Employee Certification of Registration

IC 247222 under ICR 202501-1235-001 · OMB 1235-0016.

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

View Information Collection (IC)

Application For a Farm Labor Contractor Employee Certification of Registration
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 500.44, -.47

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-535 Application for a Farm Labor Contractor Employee Certificate of Registration (Application for "Blue Card") wh535.pdf https://www.dol.gov/sites/dolgov/files/WHD/mspa/wh535.pdf Yes Yes Fillable Fileable
Form and Instruction WH- 535 SP Solicitud De Certificado De Registro De Empleado De Contratista De Trabajo Agricola (Solicitud De "Tarjeta Azul") wh-535_sp.pdf https://www.dol.gov/sites/dolgov/files/WHD/mspa/wh-535_sp.pdf Yes Yes Fillable Fileable

Workforce Management Labor Rights Management

ESA/DOL-34 and ESA/DOL-35  67 FR 16818

14,393 14,393
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   90 %

  Approved 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 14,393 0 0 0 0 14,393
Annual IC Time Burden (Hours) 7,197 0 0 0 0 7,197
Annual IC Cost Burden (Dollars) 2,404 0 0 0 0 2,404

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