Fair Labor Standards Act Special Employment Provisions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form WH-75sp Manual Para Empleado(a) Casero(a)	Form and Instruction	Unchanged	Available
Form WH-75 Homeworker Handbook	Form and Instruction	Unchanged	Available
Form WH-226 and WH-226A Section 14(c) certificate application electronic	Form and Instruction	Modified	Available
Form WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages	Form and Instruction	Modified	Available
Form WH-226 Application for Authority to Employ Workers with Disabilities at Subminimum Wages	Form and Instruction	Modified	Available
Form WH-46 Application for Certificate to Employ Homeworkers	Form and Instruction	Unchanged	Available
Form 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	Form and Instruction	Unchanged	Available
Form WH-201 Higher Education to Employ its Full-time Students at Subminimum Wages Under Regulations 29 C.F.R. Part 519	Form and Instruction	Unchanged	Available
Form 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	Form and Instruction	Unchanged	Available
Form WH-2 Application for Special Industrial Homeworker's Certificate	Form and Instruction	Unchanged	Available
Form WH-209 Application for a Certificate to Employ Messengers/Learners at Subminimum Wages	Form and Instruction	Unchanged	Available
Form WH-205 Application for Authorization to Employ A Student-Learner at Subminimum Wages	Form and Instruction	Unchanged	Available
List of Changes June 12, 2020.docx	Supplementary Document	Uploaded 2020-06-12	Available
Copy of WH226A-Import-Workers-Template.xlsx	Supplementary Document	Uploaded 2020-06-12	Available
Example-ImportWorkers-Template.pdf	Supplementary Document	Uploaded 2020-06-12	Available
Data Import Errors WH-226A Import Workers Template.pdf	Supplementary Document	Uploaded 2020-06-12	Available
Import Employees Screentshots_1June2020.pdf	Supplementary Document	Uploaded 2020-06-12	Available
Justification for non-material change 1235-0001 14c forms 6-12-20.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-06-12	Available
opm salary table jan. 2018 chicago.pdf	Supplementary Document	Uploaded 2018-01-29	Available
empsit bls dec 2017.pdf	Supplementary Document	Uploaded 2018-01-29	Available
60-day notice 20161109.pdf	Supplementary Document	Uploaded 2017-12-26	Available
1235-0001 comments and agency response 11-23-16.docx	Supplementary Document	Uploaded 2016-11-28	Available
wh226a.pdf	Supplementary Document	Uploaded 2016-09-12	Available
wh226.pdf	Supplementary Document	Uploaded 2016-09-12	Available
226 and 226a instruction page electronic.docx	Supplementary Document	Uploaded 2016-09-02	Available
Changes to WH.docx	Supplementary Document	Uploaded 2016-04-05	Available
1235-0001 Supporting Statement Final 20180501.doc	Supporting Statement A	Uploaded 2018-06-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
195818	Piece Rate Measurements		Unchanged
195817	Homeworker Handbook	Form and Instruction	Unchanged	Manual Para Empleado(a) Casero(a)
195817	Homeworker Handbook	Form and Instruction	Unchanged	Homeworker Handbook
195807	Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Form and Instruction	Modified	Section 14(c) certificate application electronic
195807	Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Form and Instruction	Modified	Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages
195807	Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Form and Instruction	Modified	Application for Authority to Employ Workers with Disabilities at Subminimum Wages
195807	Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Instruction	Modified
195806	Application to Employ Homeworkers	Form and Instruction	Unchanged	Application for Certificate to Employ Homeworkers
195806	Application to Employ Homeworkers	Instruction	Unchanged
195805	Employment Under Special Certificates Students Learners	Form and Instruction	Unchanged	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
195805	Employment Under Special Certificates Students Learners	Form and Instruction	Unchanged	Higher Education to Employ its Full-time Students at Subminimum Wages Under Regulations 29 C.F.R. Part 519
195805	Employment Under Special Certificates Students Learners	Form and Instruction	Unchanged	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
195805	Employment Under Special Certificates Students Learners	Instruction	Unchanged
195799	Application for Special Industrial Homeworker's Certificate	Form and Instruction	Unchanged	Application for Special Industrial Homeworker's Certificate
195799	Application for Special Industrial Homeworker's Certificate	Instruction	Unchanged
13920	Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	Form and Instruction	Unchanged	Application for a Certificate to Employ Messengers/Learners at Subminimum Wages
13920	Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	Form and Instruction	Unchanged	Application for Authorization to Employ A Student-Learner at Subminimum Wages
13920	Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	Instruction	Unchanged

ICR Details

OMB Control No: 1235-0001	ICR Reference No: 202006-1235-001
Status: Historical Active	Previous ICR Reference No: 202002-1235-001
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Fair Labor Standards Act Special Employment Provisions
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/27/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/08/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2021	09/30/2021	09/30/2021
Responses	1,345,357	0	1,345,357
Time Burden (Hours)	693,807	0	693,807
Cost Burden (Dollars)	2,482	0	2,482

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Abstract: This information collection pertains to the Fair Labor Standards Act (FLSA), 29 U.S.C. 201, et seq., special employment provisions. These provisions relate to restrictions on industrial homework and to the use of special certificates that allow for the employment of categories of workers who may be paid less than the general Federal statutory minimum wage to the extent necessary to prevent curtailment of their employment opportunities. For this revision request specifically, the Department proposes to revise forms WH-226 (Application for Authority to Employ Workers with Disabilities at Special Minimum Wages) and WH-226A (Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages). The proposed change is to provide an electronic form for the public’s use when completing the WH-226 and/or WH-226A forms. An online platform has been created so the WH-226 and WH-226A forms may be submitted electronically. The substance of the proposed electronic forms is substantially the same with minor word changes to accommodate the type of submission (electronic versus paper).

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Authorizing Statute(s): US Code: 29 USC 211(d) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 214(b) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 214(a) Name of Law: Fair Labor Standards Act
  

Citations for New Statutory Requirements: None

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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:
	81 FR 78861	11/09/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 29139	06/22/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Application for Special Industrial Homeworker's Certificate	WH-2	Application for Special Industrial Homeworker's Certificate
Application to Employ Homeworkers	WH-46	Application for Certificate to Employ Homeworkers
Employment Under Special Certificates Students Learners	WH-200, WH-201, WH-202	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 ,   Higher Education to Employ its Full-time Students at Subminimum Wages Under Regulations 29 C.F.R. Part 519 ,   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
Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	WH-205, WH-209	Application for Authorization to Employ A Student-Learner at Subminimum Wages ,   Application for a Certificate to Employ Messengers/Learners at Subminimum Wages
Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	WH-226 and WH-226A electronic, WH-226, WH-226A	Application for Authority to Employ Workers with Disabilities at Subminimum Wages ,   Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages ,   Section 14(c) certificate application electronic
Homeworker Handbook	WH-75, WH-75sp	Homeworker Handbook ,   Manual Para Empleado(a) Casero(a)
Piece Rate Measurements

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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	1,345,357	1,345,357	0	0	0	0
Annual Time Burden (Hours)	693,807	693,807	0	0	0	0
Annual Cost Burden (Dollars)	2,482	2,482	0	0	0	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:

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Annual Cost to Federal Government: $141,832

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.     Yes

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? No

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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: 07/08/2020

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