Vehicle Mechanical Inspection Report

Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0016 can be found here:

Documents and Forms

Document Name Document Type
Form SH-514 Vehicle Mechanical Inspection Report Form and Instruction
SH-514 Vehicle Mechanical Inspection Report for Transportation WH-514 FINAL 071715.pdf www.dol.gov/whd/forms/wh514.pdf Form and Instruction
WH-514a Vehicle Mechanical Report for Transportation Subject to WH-514a FINAL 071715.pdf www.dol.gov/whd/forms/wh514a.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Vehicle Mechanical Inspection Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 500.45(b) 29 CFR 500.100-.105

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SH-514	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements	WH-514 FINAL 071715.pdf	http://www.dol.gov/whd/forms/wh514.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-514a	Vehicle Mechanical Report for Transportation Subject to Department of Labor Safety Standards	WH-514a FINAL 071715.pdf	http://www.dol.gov/whd/forms/wh514a.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: 1,079	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,911	4,911
Annual IC Time Burden (Hours)	409	409
Annual IC Cost Burden (Dollars)	191,529	191,529

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.