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⚠️ Notice: This information collection may be referencing outdated material.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 WH-530 Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Form and Instruction
Form_WH530_Webpage instruction final.docx www.dol.gov/whd/forms/fts_wh530.htm Instruction
WH-530 Application for a Farm Labor Contractor or Farm Labor Co wh530 final.pdf www.dol.gov/whd/forms/wh530.pdf Form and Instruction
WH-530 Solicitud para Contratista de Trabajo Agricola o Emplead WH530_Sp.pdf www.dol.gov/whd/forms/wh530.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 500.1 29 CFR 500.40 29 CFR 500.44-.47

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-530	Application for a Farm Labor Contractor or Farm Labor Contractor Employee Certificate of Registration Migrant and Seasonal Agricultural Worker Protection Act	wh530 final.pdf	https://www.dol.gov/whd/forms/wh530.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-530	Solicitud para Contratista de Trabajo Agricola o Empleado de Contratista de Trabajo Agricola Certificado de Registro Le de Proteccion al Trabajador Agricola Migrante y Temporal	WH530_Sp.pdf	https://www.dol.gov/whd/forms/wh530.pdf	Yes	No	Fillable Printable
Instruction			Form_WH530_Webpage instruction final.docx	https://www.dol.gov/whd/forms/fts_wh530.htm	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: ESA/DOL-34 and ESA/DOL-35	FR Citation: 67 FR 16818

Number of Respondents: 15,026	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15,026	15,026
Annual IC Time Burden (Hours)	7,513	7,513
Annual IC Cost Burden (Dollars)	30,954	30,954

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.