Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages

Fair Labor Standards Act Special Employment Provisions

OMB: 1235-0001

IC ID: 195807

Information Collection (IC) Details

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Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 525.11-.13 29 CFR 525.7-.9

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Instructions for Form WH226 wh226a.docx https://www.dol.gov/agencies/whd/forms/wh226 Yes No Printable Only
Form and Instruction WH-226 Application for Authority to Employ Workers with Disabilities at Subminimum Wages wh226.pdf https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh226.pdf Yes No Fillable Printable
Form and Instruction WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages wh226a.pdf https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh226a.pdf Yes No Fillable Printable
Form and Instruction WH-226 and WH-226A electronic Section 14(c) certificate application electronic WH-226andWH-226A electronic form screen shots 6-12-20.pdf https://www.dol.gov/agencies/whd/workers-with-disabilities/section-14c/apply Yes Yes Fillable Fileable

Workforce Management Labor Rights Management

 

3,000 2,800
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 7,500 0 0 0 0 7,500
Annual IC Time Burden (Hours) 13,825 0 0 0 0 13,825
Annual IC Cost Burden (Dollars) 2,030 0 0 0 0 2,030

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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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