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Migrant and Seasonal Agricultural Worker Protection Wage Statement
Disclosures to Workers Under the Migrant and Seasonal Agricultural Worker Protection Act
OMB: 1235-0002
IC ID: 195675
OMB.report
DOL/WHD
OMB 1235-0002
ICR 201007-1235-002
IC 195675
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0002 can be found here:
2023-08-09 - Revision of a currently approved collection
2020-08-10 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form WH-501-ENGLISH
Migrant and Seasonal Agricultural Worker Protection Wage Statement
Form
WH-501-ENGLISH MSPA Wage Statement
Form_WH-501 02162011.pdf
www.dol.gov/whd/forms/Form_WH-501.pdf
Form
WH-501-ESPANOL Departmento De Trabajas De Los EE UU
Form_WH-501S 02162011.pdf
www.dol.gov/whd/forms/Form_WH-501S.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Migrant and Seasonal Agricultural Worker Protection Wage Statement
Agency IC Tracking Number:
200811-1215-008
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 500.80
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
WH-501-ENGLISH
MSPA Wage Statement
Form_WH-501 02162011.pdf
http://www.dol.gov/whd/forms/Form_WH-501.pdf
Yes
No
Fillable Printable
Form
WH-501-ESPANOL
Departmento De Trabajas De Los EE UU
Form_WH-501S 02162011.pdf
http://www.dol.gov/whd/forms/Form_WH-501S.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
97,885
Number of Respondents for Small Entity:
95,925
Affected Public:
Private Sector
Private Sector:
Farms
Percentage of Respondents Reporting Electronically:
0 %
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
81,519,845
0
81,519,845
0
0
0
Annual IC Time Burden (Hours)
1,358,664
0
1,358,664
0
0
0
Annual IC Cost Burden (Dollars)
3,260,794
0
3,260,794
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.