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⚠️ Notice: This information collection may be referencing outdated material.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 WH 514 Vehicle Mechanical Inspection Report Form and Instruction
WH 514 Vehicle Mechanical Inspection Report for Transportation WH514_clean_final 020520.docx www.dol.gov/whd/forms/wh514.pdf Form and Instruction
WH 514 Vehicle Mechanical Inspection Report for Transportation WH514_clean_final 020520.docx www.dol.gov/whd/forms/wh514.pdf Form and Instruction
WH 514a Vehicle Mechanical Inspection Report for Transportation wh514a_clean_final.docx www.dol.gov/whd/forms/wh514a.pdf Form and Instruction
WH 514a Vehicle Mechanical Inspection Report for Transportation wh514a_clean_final.docx 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: Modified

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	WH 514	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements	WH514_clean_final 020520.docx	https://www.dol.gov/whd/forms/wh514.pdf	Yes	No	Fillable Printable
Form and Instruction	WH 514a	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards	wh514a_clean_final.docx	https://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: ESA/DOL-34 and ESA/DOL-35	FR Citation: 67 FR 16818

Number of Respondents: 1,891	Number of Respondents for Small Entity: 1,891

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

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25,237	16,765	8,472
Annual IC Time Burden (Hours)	2,103	1,397	706
Annual IC Cost Burden (Dollars)	942,779	612,371	330,408

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.