Employment Under Special Certificates Students Learners

Fair Labor Standards Act Special Employment Provisions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0001 can be found here:

Documents and Forms

Document Name Document Type
instructions 200 201 202.docx www.dol.gov/whd/forms/fts.htm Instruction
WH-200 Application for Authority to Employ Full-Time Students a wh-200.pdf www.dol.gov/whd/forms/ Form and Instruction
WH-201 Higher Education to Employ its Full-time Students at Sub wh-201.pdf www.dol.gov/whd/forms/ Form and Instruction
WH-202 Application for Authority to Employ Six or Fewer Full-Ti wh-202.pdf www.dol.gov/whd/forms/ Form and Instruction

Information Collection (IC) Details

IC Title:	Employment Under Special Certificates Students Learners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 519.3-.6 29 CFR 519.11 29 CFR 519.13-.16

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			instructions 200 201 202.docx	http://www.dol.gov/whd/forms/fts.htm	Yes	No	Printable Only
Form and Instruction	WH-200	Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 C.F.R. Part 519	wh-200.pdf	https://www.dol.gov/whd/forms/	Yes	No	Fillable Printable
Form and Instruction	WH-201	Higher Education to Employ its Full-time Students at Subminimum Wages Under Regulations 29 C.F.R. Part 519	wh-201.pdf	https://www.dol.gov/whd/forms/	Yes	No	Fillable Printable
Form and Instruction	WH-202	Application for Authority to Employ Six or Fewer Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 C.F.R. Part 519	wh-202.pdf	https://www.dol.gov/whd/forms/	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 535	Number of Respondents for Small Entity: 500

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	535	535
Annual IC Time Burden (Hours)	129	129
Annual IC Cost Burden (Dollars)	278	278

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.