Application to Employ Homeworkers

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⚠️ Notice: This information collection may be referencing outdated material.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
U_S_ Department of Labor - Wage and Hour Division (WHD) - Instructions for Form WH-4 H-1B Nonimmigrant Information.mht www.dol.gov/whd/forms/fts_homeworker.htm Instruction
WH-46 Application for Certificate to Employ Homeworkers WH46curr.pdf www.dol.gov/whd/forms/fts_homeworker.htm Form

Information Collection (IC) Details

IC Title:	Application to Employ Homeworkers	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 516.31(c) 29 CFR 530.101-.105

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			U_S_ Department of Labor - Wage and Hour Division (WHD) - Instructions for Form WH-4 H-1B Nonimmigrant Information.mht	http://www.dol.gov/whd/forms/fts_homeworker.htm	Yes	No	Printable Only
Form	WH-46	Application for Certificate to Employ Homeworkers	WH46curr.pdf	http://www.dol.gov/whd/forms/fts_homeworker.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: 25	Number of Respondents for Small Entity: 24

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	12	12

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.