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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.