Records to be kept by Employers - FLSA

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SS1215-001(20070511).doc	Supporting Statement A	Uploaded 2007-05-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
178590	Written Agrrements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions		New
178589	Written Agrrements to Claim the Non-Agricultural Student Learner Exemption to Youth Employment Resrtictions		New
178588	Records on State/Local Government Employees Receiving Compensatory Time		New
178587	Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages		New
178586	Records on Messengers and Student Learners Paid Sub-Minimum Wages		New
178585	Records on Full-Time Students Paid Sub-Minimum Wages		New
178584	Records on Certain Agricultural Employees (Employees)		New
178520	Records on Certain Agricultural Employees (Employers)		New
178518	Records on Tipped Employees		New
178515	Records When Paying Overtime on an "Applicable " or "Authorized Basic" Rate		New
178513	Records for Overtime Payments Based on Trip Rate Plans		New
178510	Petitions for Review and Reconsideration		New
13628	General FLSA Records		Modified

ICR Details

OMB Control No: 1215-0017	ICR Reference No: 200701-1215-010
Status: Historical Active	Previous ICR Reference No: 200403-1215-005
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: Records to be kept by Employers - FLSA
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/23/2007
	Date Received in OIRA: 05/22/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2010	36 Months From Approved	08/31/2007
Responses	41,442,427	0	5,800,000
Time Burden (Hours)	1,023,678	0	1,015,798
Cost Burden (Dollars)	0	0	0

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Abstract: Employers maintain these records to document compliance with the Fair Labor Standards Act.

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Authorizing Statute(s): US Code: 29 USC 211(c) Name of Law: Fair Labor Standards Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 3536	01/31/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 28552	05/21/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Written Agrrements to Claim the Non-Agricultural Student Learner Exemption to Youth Employment Resrtictions
Written Agrrements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions
Records When Paying Overtime on an "Applicable " or "Authorized Basic" Rate
Petitions for Review and Reconsideration
Records for Overtime Payments Based on Trip Rate Plans
Records on Tipped Employees
Records on Certain Agricultural Employees (Employers)
General FLSA Records
Records on Certain Agricultural Employees (Employees)
Records on State/Local Government Employees Receiving Compensatory Time
Records on Full-Time Students Paid Sub-Minimum Wages
Records on Messengers and Student Learners Paid Sub-Minimum Wages
Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages

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ICR Summary of Burden

table that charts list of burden

	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	41,442,427	5,800,000	0	0	35,642,427	0
Annual Time Burden (Hours)	1,023,678	1,015,798	0	0	7,880	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The DOL has revised and adjusted the burden for this information collection to reflect an increase in the number of employees subject to the FLSA, to revise the methodology in order better to reflect the frequency of recordkeeping, and more fully to itemize individual requirements. While the DOL discussed the FLSA recordkeeping requirements in prior supporting statements, please note the ROCIS has only reflected estimates for the general recordkeeping requirements discussed in § 516.2. The current submission more fully presents the information into the ROCIS.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/22/2007

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