Information Collection

Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail/Service Establishments/ Agriculture/Institutions of Higher Education

IC 13658 under ICR 201003-1235-023 · OMB 1235-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-200 Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail/Service Establishments/ Agriculture/Institutions of Higher Education	Form
WH-200 Application for Authority to Employ Full-Time Students a WH-200.pdf www.dol.gov/esa/whd/forms/wh-200.pdf	Form
WH-201 Application for Authority for an Institution of Higher E wh-201.pdf www.dol.gov/esa/whd/forms/wh-201.pdf	Form
WH-202 Application for Authority to Employ Six or Fewer Full-Ti WH-202.pdf www.dol.gov/esa/whd/forms/wh-202.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail/Service Establishments/ Agriculture/Institutions of Higher Education

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 519

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-200	Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture	WH-200.pdf	http://www.dol.gov/esa/whd/forms/wh-200.pdf	Yes	No	Fillable Printable
Form	WH-201	Application for Authority for an Institution of Higher Education to Employ Its Full-Time Students at Subminimum Wages	wh-201.pdf	http://www.dol.gov/esa/whd/forms/wh-201.pdf	Yes	No	Fillable Printable
Form	WH-202	Application for Authority to Employ Six or Fewer Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture	WH-202.pdf	http://www.dol.gov/esa/whd/forms/wh-202.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 389

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

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	389	149	240
Annual IC Time Burden (Hours)	97	54	43
Annual IC Cost Burden (Dollars)	175	175	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.