Employment Information Form

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0021 can be found here:

Documents and Forms

Document Name Document Type
Form WH-3 Sp Employment Information Form Form and Instruction
WH-3 Sp Employment Information Form (Spanish) Form WH-3Sp(2004).pdf Form and Instruction
WH-3 Employment Information Form Form WH-3(2004).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employment Information Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 5.6 29 CFR 4.191 29 CFR 500.1(e) 29 CFR 801.7(a)(3) 29 CFR 825.401 41 CFR 50-201.1202 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-3 Sp	Employment Information Form (Spanish)	Form WH-3Sp(2004).pdf		No		Paper Only
Form and Instruction	WH-3	Employment Information Form	Form WH-3(2004).pdf		No		Paper Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	35,000	35,000
Annual IC Time Burden (Hours)	11,667	11,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.