Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act

Housing Occupancy Certificate—Migrant and Seasonal Agricultural Worker Protection Act

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0006 can be found here:

Documents and Forms

Document Name Document Type
Form WH-520 Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act Form and Instruction
WH-520 Housing Occupancy Certificate- Migrant and Seasonal Agri wh520.pdf www.dol.gov/whd/forms/wh520.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Housing Occupancy Certificate - Migrant and Seasonal Agricultural Worker Protection Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 500.135(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-520	Housing Occupancy Certificate- Migrant and Seasonal Agricultural Worker Protection Act	wh520.pdf	http://www.dol.gov/whd/forms/wh520.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Farms

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	-80	100
Annual IC Time Burden (Hours)	1	-6	7
Annual IC Cost Burden (Dollars)	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.