Information Collection Request

Notice to Employees of Coverage Options Under Fair Labor Standards Act Section 18B

ICR 201701-1210-001 · OMB 1210-0149 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
FLSA 18B Notice ss17.docx Supporting Statement A Uploaded 2017-01-11 Available
DOL TR 2013-02.pdf Supplementary Document Uploaded 2013-11-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
225307 Notice to Employees of Coverage Options Under FLSA Section 18B (State and Local Gov't) Other-Model Notice New
206431 Notice to Employees of Coverage Options Under FLSA 18B (Private Sector) Other-Model Notice Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2020 36 Months From Approved 05/31/2017
29,165,840 0 72,484,292
117,149 0 374,502
4,709,408 0 12,229,992





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Notice to Employees of Coverage Options Under FLSA 18B (Private Sector)
Notice to Employees of Coverage Options Under FLSA Section 18B (State and Local Gov't)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 29,165,840 72,484,292 0 0 -43,318,452 0
Annual Time Burden (Hours) 117,149 374,502 0 0 -257,353 0
Annual Cost Burden (Dollars) 4,709,408 12,229,992 0 0 -7,520,584 0


Reginfo record details
  No