Notice to Employee of FMLA Designation (Private Sector)

29 C.F.R. Part 825, The Family and Medical Leave Act of 1993

OMB: 1235-0003

IC ID: 182081

Information Collection (IC) Details

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Notice to Employee of FMLA Designation (Private Sector)
 
No Modified
 
Mandatory
 
29 CFR 825.127(c)(4) 29 CFR 825.300(d) 29 CFR 825.301 29 CFR 825.305(c) 29 CFR 825.312

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-382 Designation Notice WH-382 (Designation)[1].pdf http://www.dol.gov/whd/forms/WH-382.pdf Yes No Fillable Printable

Workforce Management Labor Rights Management

 

211,170 194,123
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   0 %

  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 12,898,914 29,487 0 0 0 12,869,427
Annual IC Time Burden (Hours) 3,479,716 4,914 0 0 0 3,474,802
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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