Payroll Records to be Kept by Employers

ICR 201405-1235-002

OMB: 1235-0018

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Form and Instruction
Unchanged
Supplementary Document
2014-06-03
Supplementary Document
2012-06-25
Supporting Statement A
2014-06-17
IC Document Collections
IC ID
Document
Title
Status
207305
Unchanged
192422
Unchanged
192421
Unchanged
192420
Unchanged
192419
Unchanged
192418
Unchanged
192417
Unchanged
192416
Unchanged
192415 Unchanged
192414
Modified
178590 Unchanged
178589
Unchanged
178588
Unchanged
178587
Unchanged
178586
Unchanged
178585
Unchanged
178584
Unchanged
178520
Unchanged
178518
Unchanged
178515
Unchanged
178513
Unchanged
178510
Unchanged
13628
Modified
ICR Details
1235-0018 201405-1235-002
Historical Inactive 201310-1235-001
DOL/WHD
Payroll Records to be Kept by Employers
Revision of a currently approved collection   No
Regular
Comment filed on proposed rule and continue 08/13/2014
Retrieve Notice of Action (NOA) 06/17/2014
The information collection requirements contained in the proposed rule are not approved at this time. DOL will resubmit this request for approval at the final rule stage and will address any comments received on the requirements.
  Inventory as of this Action Requested Previously Approved
09/30/2016 09/30/2016 09/30/2016
40,998,533 0 40,998,533
1,250,164 0 1,250,164
0 0 0

Employers respond to these information collections to document compliance with the Fair Labor Standards Act (FLSA), 29 U.S.C. 201, et seq. and other Federal payroll requirements.

US Code: 29 USC 207(e)(3) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 207(e)(8) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 207(q) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 211(c) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 213(c) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 203(l) Name of Law: Fair Labor Standards Act
  
None

1235-AA10 Proposed rulemaking 79 FR 34568 06/17/2014

  78 FR 16299 03/14/2013
78 FR 60458 10/25/2013
No

23
IC Title Form No. Form Name
Application for Authorized Basic Rate
General Payroll Records (State, Local, and Tribal Governments)
Records on Certain Agricultural Employees (Employees)
Records on Full-Time Students Paid Sub-Minimum Wages
Records on Messengers and Student Learners Paid Sub-Minimum Wages
Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages
Records on State/Local Government Employees Receiving Compensatory Time
Written Agrrements to Claim the Non-Agricultural Student Learner Exemption to Youth Employment Resrtictions
Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions WH-5 Certificate of Training
Records When Paying Overtime on an "Applicable " or "Authorized Basic" Rate
Petitions for Review and Reconsideration
Records for Overtime Payments Based on Trip Rate Plans
Records on Tipped Employees
Records on Certain Agricultural Employees (Employers)
General Payroll Records (Private Sector)
Application for Federal Certificate of Age WH-14 Application for Federal Certificate of Age
Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting of Short Season Crops
Work Experience and Career Exploration Program (WECEP) Application
WECEP Written Training Agreement
Recording Schools With WECEP Students
Requirements of a Bona Fide Thrift or Savings Plan and a Bona Fide Profit-Sharing Plan or Trust
Records When Claiming Partial Overtime Exemption for Remedial Education
Minimum Age Standards - Parental Consent

No
No

$0
No
No
No
No
No
Uncollected
Mary Ziegler 202 693-0517

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/17/2014


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