Information Collection

Application to Employ Homeworkers

IC 43803 under ICR 201003-1235-019 · OMB 1235-0019.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-46 Application for Certificate to Employ Homeworkers Application to Employ Homeworkers	Form
WH-46 Instructions.Final Draft Version (3-31-09).pdf www.dol.gov/esa/whd/forms/fts_homeworker.htm	Instruction
WH-46 Application for Certificate to Employ Homeworkers WH-46.Final Draft Version (8-18-09).pdf www.dol.gov/esa/whd/forms/WH-46.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 530.101-.105 29 CFR 516.31

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-46			http://www.dol.gov/esa/whd/forms/WH-46.pdf	Yes	No	Fillable Printable
Instruction				http://www.dol.gov/esa/whd/forms/fts_homeworker.htm	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

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	25	-1,208,170	1,208,195
Annual IC Time Burden (Hours)	13	-614,228	614,241
Annual IC Cost Burden (Dollars)	11	11	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.

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