Information Collection Request

Special Employment Under the Fair Labor Standards Act

ICR 201510-1235-001 · OMB 1235-0001 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form WH-75 Homeworker Handbook Form and Instruction Modified Available
Form WH-2 Application for Special Industrial Homeworker's Certificate Form and Instruction Modified Repair queued
1235-0001 comments and agency response 11-23-16.docx Supplementary Document Uploaded 2016-11-28 Repair queued
wh226a.pdf Supplementary Document Uploaded 2016-09-12 Available
wh226.pdf Supplementary Document Uploaded 2016-09-12 Available
226 and 226a instruction page electronic.docx Supplementary Document Uploaded 2016-09-02 Available
Changes to WH.docx Supplementary Document Uploaded 2016-04-05 Available
60-day FR Notice 8-6-15.pdf Supplementary Document Uploaded 2015-10-01 Available
1235-0001 Supporting Statement (9-3-16).doc Supporting Statement A Uploaded 2016-09-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
195818 Piece Rate Measurements Unchanged
195817 Homeworker Handbook Form and Instruction Modified
195807 Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages Instruction Modified
195806 Application to Employ Homeworkers Instruction Modified
195805 Employment Under Special Certificates Students Learners Instruction Modified
195799 Application for Special Industrial Homeworker's Certificate Form and Instruction Modified
13920 Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners) Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2019 05/31/2017 05/31/2017
1,345,307 0 1,346,240
693,807 0 686,307
3,489 0 1,640





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table that charts list of burden
IC Title Form No. Form Name
Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages WH-226, WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages ,   Application for Authority to Employ Workers with Disabilities at Subminimum Wages
Application to Employ Homeworkers WH-46 Application for Certificate to Employ Homeworkers
Homeworker Handbook WH-75, WH-75sp Homeworker Handbook ,   Manual Para Empleado(a) Casero(a)
Piece Rate Measurements
Application for Special Industrial Homeworker's Certificate WH-2 Application for Special Industrial Homeworker's Certificate
Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners) WH-209, WH-205 Application for a Certificate to Employ Messengers/Learners at Subminimum Wages ,   Application for Authorization to Employ A Student-Learner at Subminimum Wages
Employment Under Special Certificates Students Learners WH-202, WH-200, WH-201 Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 C.F.R. Part 519 ,   Higher Education to Employ its Full-time Students at Subminimum Wages Under Regulations 29 C.F.R. Part 519 ,   Application for Authority to Employ Six or Fewer Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 C.F.R. Part 519

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,345,307 1,346,240 0 -933 0 0
Annual Time Burden (Hours) 693,807 686,307 0 7,500 0 0
Annual Cost Burden (Dollars) 3,489 1,640 0 1,849 0 0


Reginfo record details
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