Concurrent leave notice (private)

Paid Leave Under the Families First Coronavirus Response Act

OMB: 1235-0031

IC ID: 240993

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Concurrent leave notice (private)
 
No New
 
Required to Obtain or Retain Benefits
 
29 CFR 826.100 29 CFR 826.140 29 CFR 826.20

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

Workforce Management Labor Rights Management

 

4,750 50
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   70 %

  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 4,750 0 4,750 0 0 0
Annual IC Time Burden (Hours) 159 0 159 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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