National Agriculture Workers Survey (NAWS)

National Agriculture Workers Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1205-0453 can be found here:

Documents and Forms

Document Name Document Type
NAWS Injury Screening and Supplement.pdf Other-survey
NAWS Musculoskeletal Supplement.pdf Other-survey
Appendix A NAWS Injury Screening and Supplement.pdf Other-survey
Oct29ENG2013CY77.pdf Other-questionnaire

Information Collection (IC) Details

IC Title:	National Agriculture Workers Survey (NAWS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey	NAWS Injury Screening and Supplement.pdf	Yes	Yes	Paper Only
Other-survey	NAWS Musculoskeletal Supplement.pdf	Yes	Yes	Paper Only
Other-survey	Appendix A NAWS Injury Screening and Supplement.pdf	Yes	Yes	Paper Only
Other-questionnaire	Oct29ENG2013CY77.pdf	Yes	Yes	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title: DOL/ASP-1	FR Citation: 67 FR 16815

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,000	1,500	1,500
Annual IC Time Burden (Hours)	3,086	1,581	1,505
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.