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General FMLA Recordkeeping (Federal)
29 C.F.R. Part 825, The Family and Medical Leave Act of 1993
OMB: 1235-0003
IC ID: 186898
OMB.report
DOL/WHD
OMB 1235-0003
ICR 201404-1235-001
IC 186898
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0003 can be found here:
2023-06-06 - No material or nonsubstantive change to a currently approved collection
2023-04-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
General FMLA Recordkeeping (Federal)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
29 CFR 825.500
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
67
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,152
0
0
0
0
3,152
Annual IC Time Burden (Hours)
66
0
0
0
0
66
Annual IC Cost Burden (Dollars)
0
0
0
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.