Information Collection

Fair Pay and Safe Workplaces Contractor Preassessment

IC 223186 under ICR 201609-1225-001 · OMB 1225-0091.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0091 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DL1-7013 Fair Pay and Safe Workplaces Contractor Preassessment	Form
DL1-7013Instructions.docx	Instruction
DL1-7013AInstructions.docx	Instruction
DL1-7013 Submission Request for Preassessment, Fair Pay and Safe DL1-7013.pdf	Form
DL1-7013A Submission Request for Preassessment, Fair Pay and Safe DL1-7013A.pdf	Form

IC Title:

Fair Pay and Safe Workplaces Contractor Preassessment

Agency IC Tracking Number:

1225

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DL1-7013	Submission Request for Preassessment, Fair Pay and Safe Workplaces	DL1-7013.pdf	Yes	Yes	Fillable Fileable
Instruction			DL1-7013Instructions.docx	Yes	Yes	Printable Only
Form	DL1-7013A	Submission Request for Preassessment, Fair Pay and Safe Workplaces, Part A	DL1-7013A.pdf	Yes	Yes	Fillable Fileable
Instruction			DL1-7013AInstructions.docx	Yes	Yes	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 110

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,172	1,172
Annual IC Time Burden (Hours)	6,440	6,440
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.