Information Collection Request
Notice to Employees of Coverage Options Under Fair Labor Standards Act Section 18B
ICR 202301-1210-003 · OMB 1210-0149 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 1210-0149 SS 4-14-22 Clean.docx |
Supporting Statement A | Uploaded 2023-04-14 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 225307 |  Notice to Employees of Coverage Options Under FLSA Section 18B (State and Local Gov't) |
Other-Model Notice | Modified | |
| 206431 | Notice to Employees of Coverage Options Under FLSA 18B (Private Sector) |
Other-Model Notice | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOL/EBSA |
| OMB Control No | 1210-0149 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202002-1210-005 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |