Employment Under Special Certificates Students 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⚠️ Notice: This information collection may be referencing outdated material.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-201 Employment Under Special Certificates Students Learners Form
U_S_ Department of Labor - Wage and Hour Division (WHD) - Instructions for Forms WH-200, WH-201, and WH-202.mht www.dol.gov/whd/forms/fts.htm Instruction
WH-200 Application for Authority to Employ Full-Time Students a wh200.pdf www.dol.gov/whd/forms/fts.htm Form
WH-201 Higher Education to Employ its Full-Time Students at Sub wh201.pdf www.dol.gov/whd/forms/fts.htm Form
WH-202 Application for Authority to Employ Six or Fewer Full-Ti wh202.pdf www.dol.gov/whd/forms/fts.htm Form

Information Collection (IC) Details

IC Title:	Employment Under Special Certificates Students Learners	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 519.3-.6 29 CFR 519.11 29 CFR 519.13-.16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH-201	Higher Education to Employ its Full-Time Students at Subminimum Wages Under Regulations 29 CFR Part 519	wh201.pdf	http://www.dol.gov/whd/forms/fts.htm	Yes	No	Fillable Printable
Instruction			U_S_ Department of Labor - Wage and Hour Division (WHD) - Instructions for Forms WH-200, WH-201, and WH-202.mht	http://www.dol.gov/whd/forms/fts.htm	Yes	No	Printable Only
Form	WH-202	Application for Authority to Employ Six or Fewer Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture	wh202.pdf	http://www.dol.gov/whd/forms/fts.htm	Yes	No	Fillable Printable
Form	WH-200	Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture	wh200.pdf	http://www.dol.gov/whd/forms/fts.htm	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 579	Number of Respondents for Small Entity: 565

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	579	579
Annual IC Time Burden (Hours)	142	142
Annual IC Cost Burden (Dollars)	272	272

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.