WAGE TRANSCRIPTION AND COMPUTATION SHEET

ICR 198309-1215-001

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
121785 Migrated
ICR Details
1215-0006 198309-1215-001
Historical Active 197910-1215-002
DOL/ESA
WAGE TRANSCRIPTION AND COMPUTATION SHEET
Revision of a currently approved collection   No
Regular
Approved without change 09/27/1983
Retrieve Notice of Action (NOA) 09/19/1983
  Inventory as of this Action Requested Previously Approved
09/30/1986 09/30/1986 10/31/1983
46,800 0 38,000
11,700 0 9,500
0 0 0

WH-55 IS NORMALLY USED BY COMPLIANCE OFFICERS TO COMPUTE BACK WAGES DUE EMPLOYEES WHO HAVE NOT BEEN PAID IN ACCORDANCE WITH LABOR STANDARDS LAWS. WH-55 IS ALSO USED BY COMPLIANCE OFFICERS TO RECORD TRANSCRIPTIONS FROM PAYROLLS. OCCASIONALLY, FORMS ARE LEFT WITH EMPLOYERS FOR COMPLETION.

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 46,800 38,000 0 8,800 0 0
Annual Time Burden (Hours) 11,700 9,500 0 2,200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/19/1983


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