Homeworker Handbook

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⚠️ Notice: This information collection may be referencing outdated material.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-75 Spanish Homeworker Handbook Form and Instruction
WH-75 Homeworker Handbook (English version) WH75EN.pdf www.dol.gov/whd/forms/index.htm Form and Instruction
WH-75 Spanish Manual Para Empleado (a) Casero WH75SP.pdf www.dol.gov/whd/forms/index.htm Form and Instruction

Information Collection (IC) Details

IC Title:	Homeworker Handbook	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 516.3(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-75 Spanish	Manual Para Empleado (a) Casero	WH75SP.pdf	http://www.dol.gov/whd/forms/index.htm	Yes	No	Fillable Printable
Form and Instruction	WH-75	Homeworker Handbook (English version)	WH75EN.pdf	http://www.dol.gov/whd/forms/index.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: 302,005	Number of Respondents for Small Entity: 295,965

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	1,208,020	1,208,020
Annual IC Time Burden (Hours)	614,077	614,077
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.