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Fair Pay and Safe Workplaces Contractor Preassessment
Fair Pay and Safe Workplaces Contractor Preassessment
OMB: 1225-0091
IC ID: 223186
OMB.report
DOL/DM
OMB 1225-0091
ICR 201609-1225-001
IC 223186
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0091 can be found here:
2016-09-16 - No material or nonsubstantive change to a currently approved collection
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
URL
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,172
0
0
0
0
1,172
Annual IC Time Burden (Hours)
6,440
0
0
0
0
6,440
Annual IC Cost Burden (Dollars)
0
0
0
0
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.