Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages

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⚠️ Notice: This information collection may be referencing outdated material.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-226 Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages Form and Instruction
WH-226 Application for Authority to Employ Workers with Disabil wh226.pdf www.dol.gov/whd/forms/fts_wh226.htm Form and Instruction
WH-226A Supplemental Data Sheet for Application for Authority to wh226a.pdf www.dol.gov/whd/forms/fts_wh226.htm Form and Instruction

Information Collection (IC) Details

IC Title:	Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	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 525.11-.13 29 CFR 525.7-.9

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-226	Application for Authority to Employ Workers with Disabilities at Special Minimum Wages	wh226.pdf	http://www.dol.gov/whd/forms/fts_wh226.htm	Yes	No	Fillable Printable
Form and Instruction	WH-226A	Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages	wh226a.pdf	http://www.dol.gov/whd/forms/fts_wh226.htm	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,600	Number of Respondents for Small Entity: 4,400

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,433	-8,067	16,500
Annual IC Time Burden (Hours)	6,325	-6,050	12,375
Annual IC Cost Burden (Dollars)	1,196	-919	2,115

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.