Migrant and Seasonal Agricultural Worker Protection Wage Statement

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0002 can be found here:

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

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: Unchanged

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

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	Previously Approved
Annual Number of Responses for this IC	81,519,845	81,519,845
Annual IC Time Burden (Hours)	1,358,664	1,358,664
Annual IC Cost Burden (Dollars)	3,260,794	3,260,794

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.