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Federal forms, ICRs, and supporting documents

Information Collection

Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages

IC 180252 under ICR 201101-1235-001 · OMB 1235-0020.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form WH-226A
Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages		 Form and Instruction
WH-226A Supplemental Data Sheet for Application for Authority to
Form WH-226A (20090724).pdf
www.dol.gov/esa/forms/whd/wh226a.pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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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 and Instruction WH-226A http://www.dol.gov/esa/forms/whd/wh226a.pdf Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 9,000 0 0 0 0 9,000
Annual IC Time Burden (Hours) 6,750 0 0 0 0 6,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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