Federal Labor Standards Questionnaire(s); Complaint Intake Form

ICR 201307-2501-001

OMB: 2501-0018

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Supporting Statement A
2013-09-26
IC Document Collections
IC ID
Document
Title
Status
26959 Unchanged
ICR Details
2501-0018 201307-2501-001
Historical Active 201007-2501-001
HUD/HUDSEC
Federal Labor Standards Questionnaire(s); Complaint Intake Form
Extension without change of a currently approved collection   No
Regular
Approved without change 11/13/2013
Retrieve Notice of Action (NOA) 09/27/2013
  Inventory as of this Action Requested Previously Approved
11/30/2016 36 Months From Approved 11/30/2013
2,500 0 2,500
1,250 0 1,250
0 0 0

The information is used by HUD to fulfill its obligation to enforce Federal Labor stanards provisions, especially to act upon allegations of labor standards violations.

None
None

Not associated with rulemaking

  78 FR 45259 07/26/2013
78 FR 59046 09/25/2013
No

1
IC Title Form No. Form Name
Enforcement of Federal Labor Standards HUD-4730, HUD-4730-E, HUD-4731, HUD 4730-SP Federal Labor Standards Questionnaire - Spanish Version ,   Federal Labor Standards Complaint Intake Form ,   Federal Labor Standards Questionnaire ,   On-line Employee Questionnaire

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,500 2,500 0 0 0 0
Annual Time Burden (Hours) 1,250 1,250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$85,850
No
No
No
No
No
Uncollected
Jade Banks 202 708-0370 ext. 5475

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/27/2013


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