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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form WH-75SP Manual Para Empleado (a) Casero	Form and Instruction	Modified	Available
Form WH-75EN Homeworker Handbook	Form and Instruction	Modified	Available
Form WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages	Form and Instruction	Modified	Available
Form WH-226 Application for Authority to Employ Workers with Disabilities at Special Minimum Wages	Form and Instruction	Modified	Available
Form WH-46 Application for Certificate to Employ Homeworkers	Form and Instruction	Modified	Available
Form WH-202 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	Form and Instruction	Modified	Available
Form WH-201 Higher Education to Employ Six or Fewer Full Time Students at Subminimum Wages Under Regulations 29 CFR Part 519	Form and Instruction	Modified	Available
Form WH-200 Application for Authority to Employ Full Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 CFR Part 519	Form and Instruction	Modified	Available
Form WH-2 Application for Special Industrial Homeworkers Cerfiicate	Form and Instruction	Modified	Available
Form WH-205 Application for Authority to Employ a Student Learner at Subminimum Wages	Form and Instruction	Modified	Available
Form WH 209 Application for a Certificate to Employ Learners and/or Messengers at Subminimum Wages	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 ID	Collection	Type	Status	Form
195818	Piece Rate Measurements		Modified
195817	Homeworker Handbook	Form and Instruction	Modified	Manual Para Empleado (a) Casero
195817	Homeworker Handbook	Form and Instruction	Modified	Homeworker Handbook
195807	Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Form and Instruction	Modified	Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages
195807	Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Form and Instruction	Modified	Application for Authority to Employ Workers with Disabilities at Special Minimum Wages
195806	Application to Employ Homeworkers	Form and Instruction	Modified	Application for Certificate to Employ Homeworkers
195806	Application to Employ Homeworkers	Instruction	Modified
195805	Employment Under Special Certificates Students Learners	Instruction	Modified
195805	Employment Under Special Certificates Students Learners	Form and Instruction	Modified	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
195805	Employment Under Special Certificates Students Learners	Form and Instruction	Modified	Higher Education to Employ Six or Fewer Full Time Students at Subminimum Wages Under Regulations 29 CFR Part 519
195805	Employment Under Special Certificates Students Learners	Form and Instruction	Modified	Application for Authority to Employ Full Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 CFR Part 519
195799	Application for Special Industrial Homeworker's Certificate	Instruction	Modified
195799	Application for Special Industrial Homeworker's Certificate	Form and Instruction	Modified	Application for Special Industrial Homeworkers Cerfiicate
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	Application for Authority to Employ a Student Learner at Subminimum Wages
13920	Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	Instruction	Modified
13920	Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	Form and Instruction	Modified	Application for a Certificate to Employ Learners and/or Messengers at Subminimum Wages

ICR Details

OMB Control No: 1235-0001	ICR Reference No: 201309-1235-002
Status: Historical Active	Previous ICR Reference No: 201004-1235-003
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Information Collections Pertaining to Special Employment Under the Fair Labor Standards Act
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/02/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/25/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2017	36 Months From Approved	05/31/2014
Responses	1,346,240	0	1,225,725
Time Burden (Hours)	686,307	0	626,984
Cost Burden (Dollars)	1,640	0	2,587

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Abstract: This information collection pertains to the Fair Labor Standards Act (FLSA), 29 U.S.C. 201, et seq., special employment provisions. These provisions relate to restrictions on industrial homework and to the use of special certificates that allow for the employment of categories of workers who may be paid less than the general Federal statutory minimum wage to the extent necessary to prevent curtailment of their employment opportunities.

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Authorizing Statute(s): US Code: 29 USC 214(a) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 211(d) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 214(b) Name of Law: Fair Labor Standards Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 72716	12/03/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 16377	03/25/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Application for Special Industrial Homeworker's Certificate	WH-2	Application for Special Industrial Homeworkers Cerfiicate
Application to Employ Homeworkers	WH-46	Application for Certificate to Employ Homeworkers
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 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 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
Employment of Homeworkers in Certain Industries
Homeworker Handbook	WH-75EN, WH-75SP	Homeworker Handbook ,   Manual Para Empleado (a) Casero
Piece Rate Measurements

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ICR Summary of Burden

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

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: As noted in Item #15 of the supporting statement, the agency discretion reduction in burden is the result of an instrument that had previously been placed as a placeholder for instructions and the instructions are now uploaded with the WH-2 and WH-46 instruments so the placeholder is being removed from this ICR. The database will only accept this change as a discretionary action; therefore, corresponding the ICR reflects corresponding discretionary increases and decreases..

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Annual Cost to Federal Government: $17,115

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/25/2014

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