View Information Collection (IC)

View Information Collection (IC)

IC Title:	Housing Terms and Conditions for Migrant Agricultural Workers	Agency IC Tracking Number:	200712-1215-004

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 500.75 29 CFR 500.1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH-521 English and Spanish	Housing Terms and Conditions for MSPA Workers	wh521 1-28-14.pdf	http://www.dol.gov/whd/forms/wh521.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,300	Number of Respondents for Small Entity: 1,274

Affected Public: Private Sector	Private Sector: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,300	0	0	0	0	1,300
Annual IC Time Burden (Hours)	650	0	0	0	0	650
Annual IC Cost Burden (Dollars)	52	0	0	0	0	52

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.