Government Contractor Paid Sick Leave

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
1235 - 0029 Supporting Statement 091919.docx	Supporting Statement A	Uploaded 2019-09-17	Available
1235 - 0029 FR Notice 052219.pdf	Supplementary Document	Uploaded 2019-09-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
222577	Regulatory Familiarization		Removed
219209	Notice of Accrued Leave Other		Modified
219207	Denial of Leave		Modified
219206	Monthly Notice		Modified
219205	Record of Cash-out		Modified
219204	Paid Sick Leave Record Designation		Modified
219203	Certification Paid Sick Leave		Modified

ICR Details

OMB Control No: 1235-0029	ICR Reference No: 201909-1235-002
Status: Active	Previous ICR Reference No: 201607-1235-001
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Government Contractor Paid Sick Leave
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/28/2020
	Date Received in OIRA: 12/23/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	36 Months From Approved	01/31/2020
Responses	31,803,436	0	13,577,407
Time Burden (Hours)	626,406	0	590,477
Cost Burden (Dollars)	1,088,156	0	347,784

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Abstract: This ICR updates the information collections associated with Executive Order 13706, Paid Sick Leave for Federal Contractors.

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Authorizing Statute(s): EO: EO 13706 Name/Subject of EO: Paid Sick Leave for Federal Contractors
  

Citations for New Statutory Requirements: EO: EO 13706 Name/Subject of EO: Establishing Paid Sick Leave for Federal Contractors

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 23586	05/22/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 69777	12/19/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Regulatory Familiarization
Paid Sick Leave Record Designation
Record of Cash-out
Monthly Notice
Denial of Leave
Certification Paid Sick Leave
Notice of Accrued Leave Other

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ICR Summary of Burden

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	31,803,436	13,577,407	0	0	18,226,029	0
Annual Time Burden (Hours)	626,406	590,477	0	0	35,929	0
Annual Cost Burden (Dollars)	1,088,156	347,784	0	0	740,372	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are two reasons for the adjustments - one, the increase in affected employees as estimated by Table 8 in the Final Rule and an increase in wage, benefit, and overhead costs for human resource employees and physician assistants as per the OES.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/23/2019

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