Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student 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⚠️ Notice: This information collection may be referencing outdated material.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
WH-209SI.pdf Instruction
Instructions for Form WH205.docx www.dol.gov/agencies/whd/forms/wh205 Instruction
WH-205 Application for Authorization to Employ A Student-Learne wh-205.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-205.pdf Form and Instruction
WH-209 Application for a Certificate to Employ Messengers/Learn wh209_ form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 520 Subpart E 29 CFR 520 Subpart D

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			WH-209SI.pdf		No		Paper Only
Instruction			Instructions for Form WH205.docx	https://www.dol.gov/agencies/whd/forms/wh205	Yes	No	Printable Only
Form and Instruction	WH-205	Application for Authorization to Employ A Student-Learner at Subminimum Wages	wh-205.pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-205.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-209	Application for a Certificate to Employ Messengers/Learners at Subminimum Wages	wh209_ form.pdf		No		Paper Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 316	Number of Respondents for Small Entity: 285

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	316	316
Annual IC Time Burden (Hours)	158	158
Annual IC Cost Burden (Dollars)	164	164

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.