Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)

Information Collections Pertaining to Special Employment Under the Fair Labor Standards Act

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0001 can be found here:

Documents and Forms

Document Name Document Type
Form WH 209 Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners) Form and Instruction
WH-209SI.PDF Instruction
U_S_ Department of Labor - Wage and Hour Division (WHD) - Instructions for Form WH-205 Application to Employ Student-Learners at www.dol.gov/whd/forms/index.htm Instruction
WH-205 Application for Authorization to Employ A Student-Learne wh-205.pdf www.dol.gov/whd/forms/wh-205.pdf Form and Instruction
WH 209 Application for a Certificate to Employ Learners and/or wh209_new_1.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 520 Subpart D 29 CFR 520 Subpart E

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH 209	Application for a Certificate to Employ Learners and/or Messengers at Subminimum Wages	wh209_new_1.pdf		No		Paper Only
Form and Instruction	WH-205	Application for Authorization to Employ A Student-Learner at Subminimum Wages	wh-205.pdf	http://www.dol.gov/whd/forms/wh-205.pdf	Yes	No	Fillable Printable
Instruction			U_S_ Department of Labor - Wage and Hour Division (WHD) - Instructions for Form WH-205 Application to Employ Student-Learners at Subminimum Wages.mht	http://www.dol.gov/whd/forms/index.htm	Yes	No	Printable Only
Instruction			WH-209SI.PDF		No		Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 360

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	-300	700
Annual IC Time Burden (Hours)	200	-150	350
Annual IC Cost Burden (Dollars)	188	188	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.