Information Collection Request

Applications to Employ Special Industrial Homeworkers and Workers with Disabilities

ICR 200705-1215-003 · OMB 1215-0005 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages Form and Instruction New Available
Form WH-226 Employment of Workers with Disabilities Under Special Certificates Form and Instruction New Available
Form WH-2 Employment of Homeworkers in Certain Industries Form and Instruction Modified Available
SS 1215-0005 (August 2007).doc Supporting Statement A Uploaded 2007-09-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
180252 Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages Form and Instruction New
180251 Employment of Workers with Disabilities Under Special Certificates Form and Instruction New
13621 Employment of Homeworkers in Certain Industries Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2011 36 Months From Approved 01/31/2008
12,050 0 16,550
9,025 0 12,400
1,342 0 2,000





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 12,050 16,550 0 0 -4,500 0
Annual Time Burden (Hours) 9,025 12,400 0 0 -3,375 0
Annual Cost Burden (Dollars) 1,342 2,000 0 0 -658 0


Reginfo record details
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