Application to Employ Homeworkers

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⚠️ Notice: This information collection may be referencing outdated material.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
Form WH-46 Application to Employ Homeworkers Form and Instruction
INSTRUCTIONS For FORM WH-2 and WH-46.docx www.dol.gov/agencies/whd/forms/wh2-wh46 Instruction
WH-46 Application for Certificate to Employ Homeworkers WH-46 form.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-46.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application to Employ Homeworkers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 516.31(c) 29 CFR 530.101-.105

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-46	Application for Certificate to Employ Homeworkers	WH-46 form.pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-46.pdf	Yes	No	Fillable Printable
Instruction			INSTRUCTIONS For FORM WH-2 and WH-46.docx	https://www.dol.gov/agencies/whd/forms/wh2-wh46	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 5

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	7	7

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.