Employers - Point of Contact Questions

National Agricultural 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⚠️ Notice: This information collection may be referencing outdated material.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 Questionnaire_5.2.17.pdf Other-NAWS cover page - employer fie
NAWS Questionnaire (Track Changes) 5.2.17.pdf NAWS Survey - Track changes IC Document
NAWS Questionnaire (Only New Questions Highlighted) 5.2.17.pdf NAWS Survey - New questions IC Document

Information Collection (IC) Details

IC Title:	Employers - Point of Contact Questions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-NAWS cover page - employer fields			NAWS Questionnaire_5.2.17.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title: DOL/ETA-29	FR Citation: 81 FR 25765

Number of Respondents: 3,847	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	3,847	2,909	938
Annual IC Time Burden (Hours)	491	178	313
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
NAWS Survey - Track changes	NAWS Questionnaire (Track Changes) 5.2.17.pdf	08/15/2017
NAWS Survey - New questions	NAWS Questionnaire (Only New Questions Highlighted) 5.2.17.pdf	08/15/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.