Information Collection

Homeworker Handbook

IC 188121 under ICR 201003-1235-019 · OMB 1235-0019.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-75 Homeworker Handbook	Form
WH-75 Homeworker Handbook WH-75 english.Final Draft Version (8-28-09).pdf www.dol.gov/esa/WHD/forms/WH75EN.pdf	Form
WH-75 Spanish Manual Para Empleado(a) Casero(a) WH75 spanish.Final Draft Version (8-18-09).pdf www.dol.gov/esa/WHD/forms/WH75SP.pdf	Form

IC Title:

Homeworker Handbook

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 516.31(c)

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	WH-75	Homeworker Handbook	WH-75 english.Final Draft Version (8-28-09).pdf	http://www.dol.gov/esa/WHD/forms/WH75EN.pdf	Yes	No	Fillable Printable
Form	WH-75 Spanish	Manual Para Empleado(a) Casero(a)	WH75 spanish.Final Draft Version (8-18-09).pdf	http://www.dol.gov/esa/WHD/forms/WH75SP.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: 302,005

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
Annual Number of Responses for this IC	1,208,020	1,208,020
Annual IC Time Burden (Hours)	614,077	614,077
Annual IC Cost Burden (Dollars)	0	0

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.