Information Collection Request

Information Collections Pertaining to Special Employment Under the Fair Labor Standards Act

ICR 201309-1235-002 · OMB 1235-0001 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form WH-75EN Homeworker Handbook Form and Instruction Modified Available
Form WH-226 Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages Form and Instruction Modified Available
Form WH-200 Employment Under Special Certificates Students Learners Form and Instruction Modified Available
Form WH-2 Application for Special Industrial Homeworker's Certificate Form and Instruction Modified Available
Form WH 209 Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners) Form and Instruction Modified Available
1235-0001 60dayFR.pdf Supplementary Document Uploaded 2014-01-31 Available
1235-0001ss(20140228).doc Supporting Statement A Uploaded 2014-03-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
195818 Piece Rate Measurements Modified
195817 Homeworker Handbook Form and Instruction Modified
195807 Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages Form and Instruction Modified
195806 Application to Employ Homeworkers Instruction Modified
195805 Employment Under Special Certificates Students Learners Form and Instruction Modified
195799 Application for Special Industrial Homeworker's Certificate Form and Instruction Modified
193511 Employment of Homeworkers in Certain Industries Instruction Removed
13920 Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2017 36 Months From Approved 05/31/2014
1,346,240 0 1,225,725
686,307 0 626,984
1,640 0 2,587





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table that charts list of burden
IC Title Form No. Form Name
Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages WH-226, WH-226A 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
Application to Employ Homeworkers WH-46 Application for Certificate to Employ Homeworkers
Homeworker Handbook WH-75EN, WH-75SP Homeworker Handbook ,   Manual Para Empleado (a) Casero
Piece Rate Measurements
Application for Special Industrial Homeworker's Certificate WH-2 Application for Special Industrial Homeworkers Cerfiicate
Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners) WH-205, WH 209 Application for a Certificate to Employ Learners and/or Messengers at Subminimum Wages ,   Application for Authority to Employ a Student Learner at Subminimum Wages
Employment Under Special Certificates Students Learners WH-200, WH-201, WH-202 Application for Authority to Employ Full Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 CFR Part 519 ,   Higher Education to Employ Six or Fewer Full Time Students at Subminimum Wages Under Regulations 29 CFR Part 519 ,   Application for Authority to Employ Six or Fewer Full Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture under Regulations 29 CFR Part 519
Employment of Homeworkers in Certain Industries

table that charts list of burden
  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 1,346,240 1,225,725 0 0 120,515 0
Annual Time Burden (Hours) 686,307 626,984 0 0 59,323 0
Annual Cost Burden (Dollars) 1,640 2,587 0 0 -947 0


Reginfo record details
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