Government Contractor Paid Sick Leave

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
30 Day SS 1235-0029 v3.2 (2022-10-28).docx	Supporting Statement A	Uploaded 2022-10-28	Repair queued
BLS-OEWS Human Resources Specialists.pdf	Supplementary Document	Uploaded 2022-10-21	Repair queued
FR Notice 1235-0029 (2022-07-19).pdf	Supplementary Document	Uploaded 2022-10-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
219209	Notice After Separation and Reinstatement		Modified
219207	Notice of Denial		Modified
219206	Notice of Accrued Sick Leave		Modified
219205	Records of Cash Out		Modified
219204	Records of Paid Sick Leave		Modified
219203	Certification Paid Sick Leave		Modified

ICR Details

OMB Control No: 1235-0029	ICR Reference No: 202210-1235-002
Status: Historical Active	Previous ICR Reference No: 201909-1235-002
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Government Contractor Paid Sick Leave
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/05/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/04/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2025	36 Months From Approved	01/31/2023
Responses	30,700,566	0	31,803,436
Time Burden (Hours)	604,685	0	626,406
Cost Burden (Dollars)	1,168,157	0	1,088,156

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Abstract: This ICR includes the information collections associated with Executive Order 13706, Paid Sick Leave for Federal Contractors.

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Authorizing Statute(s): EO: EO 13706 Name/Subject of EO: Paid Sick Leave for Federal Contractors
  

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:
	87 FR 43059	07/19/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 66749	11/04/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Certification Paid Sick Leave
Notice After Separation and Reinstatement
Notice of Accrued Sick Leave
Notice of Denial
Records of Cash Out
Records of Paid Sick Leave

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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	30,700,566	31,803,436	0	0	-1,102,870	0
Annual Time Burden (Hours)	604,685	626,406	0	0	-21,721	0
Annual Cost Burden (Dollars)	1,168,157	1,088,156	0	0	80,001	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: The number of total covered workers decreased resulting in a decrease to the annual number of responses and the time burden. However, compensation costs increased resulting in an increase to the annual cost burden for the third party certification.

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Annual Cost to Federal Government: $0

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.     No

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: 11/04/2022

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