Health Care Provider Certification (private)

Paid Leave Under the Families First Coronavirus Response Act

OMB: 1235-0031

IC ID: 240989

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Health Care Provider Certification (private)
 
No New
 
Required to Obtain or Retain Benefits
 
29 CFR 826.100(c) 29 CFR 826.20

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Workforce Management Training and Employment

 

47,500 0
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   60 %

  Approved 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 47,500 0 47,500 0 0 0
Annual IC Time Burden (Hours) 15,834 0 15,834 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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