Homeworker Handbook

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⚠️ Notice: This information collection may be referencing outdated material.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-75EN Homeworker Handbook Form and Instruction
WH-75EN Homeworker Handbook WH75EN.pdf www.dol.gov/whd/forms/WH75EN.pdf Form and Instruction
WH-75SP Manual Para Empleado (a) Casero WH75SP.pdf www.dol.gov/whd/forms/WH75SP.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Homeworker Handbook	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 516.3(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-75EN	Homeworker Handbook	WH75EN.pdf	http://www.dol.gov/whd/forms/WH75EN.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-75SP	Manual Para Empleado (a) Casero	WH75SP.pdf	http://www.dol.gov/whd/forms/WH75SP.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 334,200	Number of Respondents for Small Entity: 448

Affected Public: Private Sector	Private Sector: 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	1,336,800	128,780	1,208,020
Annual IC Time Burden (Hours)	679,540	65,463	614,077
Annual IC Cost Burden (Dollars)	0	0	0

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.