Information Collection

Employment Under Special Certificates Students Learners

IC 195805 under ICR 201309-1235-002 · OMB 1235-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-200 Employment Under Special Certificates Students Learners	Form and Instruction
instructions 200 201 202.docx www.dol.gov/whd/forms/fts.htm	Instruction
WH-200 Application for Authority to Employ Full Time Students a WH-200.pdf www.dol.gov/whd/forms/wh-200.pdf	Form and Instruction
WH-201 Higher Education to Employ Six or Fewer Full Time Studen WH-201.pdf www.dol.gov/whd/forms/wh-201.pdf	Form and Instruction
WH-202 Application for Authority to Employ Six or Fewer Full Ti WH-202.pdf www.dol.gov/whd/forms/wh-202.pdf	Form and Instruction

IC Title:

Employment Under Special Certificates Students Learners

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 519.13-.16 29 CFR 519.3-.6 29 CFR 519.11

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-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	WH-200.pdf	http://www.dol.gov/whd/forms/wh-200.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-201	Higher Education to Employ Six or Fewer Full Time Students at Subminimum Wages Under Regulations 29 CFR Part 519	WH-201.pdf	http://www.dol.gov/whd/forms/wh-201.pdf	Yes	No	Fillable Printable
Form and Instruction	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	WH-202.pdf	http://www.dol.gov/whd/forms/wh-202.pdf	Yes	No	Fillable Printable
Instruction			instructions 200 201 202.docx	http://www.dol.gov/whd/forms/fts.htm	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 535

Number of Respondents for Small Entity: 500

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	535	-44	579
Annual IC Time Burden (Hours)	129	-13	142
Annual IC Cost Burden (Dollars)	278	6	272

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.