Information Collection

Application For Special Industrial Homeworker's Certificate, Application For Authorization To Employ A Student-learner At Subminimum Wages, And Application For Special Workers, Etc.

IC 121782 under ICR 199303-1215-008 · OMB 1215-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0005 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATION FOR SPECIAL INDUSTRIAL HOMEWORKER'S CERTIFICATE, APPLICATION FOR AUTHORIZATION TO EMPLOY A STUDENT-LEARNER AT SUBMINIMUM WAGES, AND APPLICATION FOR SPECIAL WORKERS, ETC.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	WH-2, 205	No	No
Form	266-MIS	No	No
Form	266A-MIS	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	14,200	14,200
Annual IC Time Burden (Hours)	10,325	10,325
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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