Application for Federal Certificate of Age

ICR 200805-1215-012

OMB: 1215-0083

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2008-10-19
IC Document Collections
ICR Details
1215-0083 200805-1215-012
Historical Active 200510-1215-002
DOL/ESA
Application for Federal Certificate of Age
Extension without change of a currently approved collection   No
Regular
Approved without change 11/28/2008
Retrieve Notice of Action (NOA) 10/24/2008
  Inventory as of this Action Requested Previously Approved
11/30/2011 36 Months From Approved 12/31/2008
10 0 10
2 0 2
0 0 0

Form WH-14 is the application employers submit to obtain Federal Certificates of Age to protect themselves against unwitting child labor violations of the Fair Labor Standards Act (FLSA).

US Code: 29 USC 203(l) Name of Law: Fair Labor Standards Act
  
None

Not associated with rulemaking

  73 FR 37986 07/02/2008
73 FR 63514 10/24/2008
No

1
IC Title Form No. Form Name
Application for Federal Certificate of Age WH-14 Application for Federal Certificate of Age

  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 10 10 0 0 0 0
Annual Time Burden (Hours) 2 2 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$48
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Michel Smyth 202 693-0638 [email protected]

  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.
10/24/2008


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