Employment Under Special Certificates Students Learners

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.