Disclosures to Workers Under the Migrant and Seasonal Agricultural Worker Protection Act

Forms and Documents

Document Name	Status
Form WH-521-ENGLISH & S Housing Terms and Conditions for Migrant Agricultural Workers Form	New
Form WH-501-ENGLISH Migrant and Seasonal Agricultural Worker Protection Wage Statement Form	New
Form WH-516-ENGLISH Worker Information - Terms and Conditions of Employment Form	Modified
1235-0002ss(02072015).doc Supporting Statement A	2011-02-15

IC Document Collections

IC ID	Document Title	Status
195676	Housing Terms and Conditions for Migrant Agricultural Workers Form	New
195675	Migrant and Seasonal Agricultural Worker Protection Wage Statement Form	New
13905	Worker Information - Terms and Conditions of Employment Form	Modified

ICR Details

OMB Control No: 1235-0002	ICR Reference No: 201007-1235-002
Status: Historical Active	Previous ICR Reference No: 201003-1235-002
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Disclosures to Workers Under the Migrant and Seasonal Agricultural Worker Protection Act
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/02/2011
	Date Received in OIRA: 02/24/2011
Terms of Clearance: OMB notes the burden changes associated with the merger of 3 collections in this package. DOL will discontinue the other 2 packages, as appropriate.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved	06/30/2011
Responses	84,206,505	0	3,102,000
Time Burden (Hours)	1,417,436	0	77,550
Cost Burden (Dollars)	3,368,260	0	93,060

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Abstract: Agricultural employers and associations and farm labor contractors use this information collection to disclose employment terms and conditions, wage statements, and housing terms and conditions to migrant/seasonal agricultural workers, to comply with the Migrant Seasonal Agricultural Worker Protection Act.

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Authorizing Statute(s): US Code: 29 USC 1801, et seq. Name of Law: Migrant and Seasonal Agricultural Worker Protection Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 57296	09/20/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 10393	02/24/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Worker Information - Terms and Conditions of Employment	WH-516-ENGLISH, WH-516-SPANISH	Worker Information-Terms and Conditions of Employment ,   Informacion Sobre el Obrero-Terminos y Condiciones de Empleo
Housing Terms and Conditions for Migrant Agricultural Workers	WH-521-ENGLISH & SPANISH	Housing Terms and Conditions for MSPA Workers
Migrant and Seasonal Agricultural Worker Protection Wage Statement	WH-501-ENGLISH, WH-501-ESPANOL	MSPA Wage Statement ,   Departmento De Trabajas De Los EE UU

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ICR Summary of Burden

	Total Approved	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	84,206,505	3,102,000	0	81,521,145	-416,640	0
Annual Time Burden (Hours)	1,417,436	77,550	0	1,359,314	-19,428	0
Annual Cost Burden (Dollars)	3,368,260	93,060	0	3,260,846	14,354	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This submission reflects an overall burden increase of 81,104,505 responses (from 3,102,000 to 84,206,505), 1,339,886 burden hours 1,339,886 hours (from 77,550 to 1,417,436) and $3,275,200. The most significant reason for the change in anticipated burdens for this Control Number is the merger of three individual information collections into one consolidated information collection request. The merger is treated as a miscellaneous discretionary change. The DOL will seek to cancel duplicative Control Numbers upon OMB approval of this request. Furthermore updated information (e.g., fewer responses resulting in less time burden and an increase in the cost of providing copies for third-party disclosures) resulted in changes for certain burden statistics for the terms and conditions of employment, the information collection originally covered by this Control Number. Those changes have been identified as being due to adjustments in agency estimates.

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Annual Cost to Federal Government: $56,861

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/24/2011

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