Information Collection

Employment of Homeworkers in Certain Industries

IC 13621 under ICR 200705-1215-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form WH-2 Employment of Homeworkers in Certain Industries	Form and Instruction
WH-2 Application for Special Industrial Homeworker's Certific WH-2.pdf www.dol.gov/esa/forms/whd/WH-2.pdf	Form and Instruction

IC Title:

Employment of Homeworkers in Certain Industries

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 530

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-2	Application for Special Industrial Homeworker's Certificate	WH-2.pdf	http://www.dol.gov/esa/forms/whd/WH-2.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-16,500	16,550
Annual IC Time Burden (Hours)	25	-12,375	12,400
Annual IC Cost Burden (Dollars)	22	-1,978	2,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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