Certification Paid Sick Leave

Government Contractor Paid Sick Leave

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0029 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Certification Paid Sick Leave	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 13.5(e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: Certification Paid Sick Leave	FR Citation: 81 FR 9592

Number of Respondents: 45,894	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	45,894	45,894
Annual IC Time Burden (Hours)	3,825	3,825
Annual IC Cost Burden (Dollars)	246,713	246,713

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.