WAGE TRANSCRIPTION AND COMPUTATION SHEET

ICR 197910-1215-002

OMB: 1215-0006

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
168368 Migrated
ICR Details
1215-0006 197910-1215-002
Historical Active 197809-1215-002
DOL/ESA
WAGE TRANSCRIPTION AND COMPUTATION SHEET
No material or nonsubstantive change to a currently approved collection   No
Emergency 10/31/1979
Approved with change 10/31/1979
Retrieve Notice of Action (NOA) 10/31/1979
  Inventory as of this Action Requested Previously Approved
10/31/1983 10/31/1983 10/31/1983
38,000 0 42,000
9,500 0 10,500
0 0 0

FORM IS USED BY WAGE HOUR COMPLIANCE OFFICERS TO COMPUTE BACK WAGES DUE TO EMPLOYEES WHO HAVE NOT BEEN PAID IN ACCORDANCE WITH ONE OR MORE OF THE LEABOR STANDARDS ACTS. USE OF FORM IS AUTHORIZED BY THE FLSA OF 1938 AS AMENDED.

None
None


No

1
IC Title Form No. Form Name
WAGE TRANSCRIPTION AND COMPUTATION SHEET WH-55

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 38,000 42,000 0 0 -4,000 0
Annual Time Burden (Hours) 9,500 10,500 0 0 -1,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/31/1979


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