Government Contractor Paid Sick Leave

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
gs salary table rest of US 2016.pdf	Supplementary Document	Uploaded 2016-01-24	Available
SS1235-0NEW(20160225).docx	Supporting Statement A	Uploaded 2016-02-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
219209	Notice of Accrued Leave Other		New
219208	Notice of Accrued Leave per use		New
219207	Denial of Leave		New
219206	Notice of Accrued Leave Monthly		New
219205	Certified List Paid Sick Leave		New
219204	Paid Sick Leave Record Designation		New
219203	Certification Paid Sick Leave		New

ICR Details

OMB Control No: 1235-0029	ICR Reference No: 201512-1235-002
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Government Contractor Paid Sick Leave
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 04/28/2016
	Date Received in OIRA: 02/25/2016
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This ICR implements the information collections associated with Executive Order 13706, Paid Sick Leave for Federal Contractors.

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Authorizing Statute(s): EO: EO 13706 Name/Subject of EO: Paid Sick Leave for Federal Contractors
  

Citations for New Statutory Requirements: EO: EO 13706 Name/Subject of EO: Establishing Paid Sick Leave for Federal Contractors

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1235-AA13	Proposed rulemaking	81 FR 9592	02/25/2016

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 9592	02/25/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 9592	02/25/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Paid Sick Leave Record Designation
Notice of Accrued Leave per use
Notice of Accrued Leave Other
Certified List Paid Sick Leave
Notice of Accrued Leave Monthly
Denial of Leave
Certification Paid Sick Leave

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This new information collection would support Government Contractor Paid Sick Leave regulations that implement E.O. 13706, Establishing Paid Sick Leave for Federal Contractors.

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Annual Cost to Federal Government: $104,090

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/25/2016

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