Information Collection

General FLSA Records (Private Sector)

IC 13628 under ICR 202102-1235-002 · OMB 1235-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0018 can be found here:

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Information Collection (IC) Details

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IC Title:

General FLSA Records (Private Sector)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 516.2-3 29 CFR 516.5-6 29 CFR 516.11-14 29 CFR 516.16-18 29 CFR 516.27 29 CFR 516.29-30 29 CFR 530.8-9 29 CFR 548.3 29 CFR 548.306 29 CFR 516.20-24 29 CFR 552.110 29 CFR 553.51 29 CFR 505.5 29 CFR 794.11 29 CFR 10.26 29 CFR 10.29

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,302,415

Number of Respondents for Small Entity: 558,380

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	21,147,517	21,147,517
Annual IC Time Burden (Hours)	3,154,237	3,154,237
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.