Information Collection Request

Notice to Employees of Coverage Options Under Fair Labor Standards Act Section 18B

ICR 202301-1210-003 · OMB 1210-0149 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1210-0149 SS 4-14-22 Clean.docx Supporting Statement A Uploaded 2023-04-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
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

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2026 36 Months From Approved 12/31/2023
31,595,244 0 32,068,268
263,294 0 116,421
5,480,827 0 5,238,964





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Notice to Employees of Coverage Options Under FLSA 18B (Private Sector)
Notice to Employees of Coverage Options Under FLSA Section 18B (State and Local Gov't)

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 31,595,244 32,068,268 0 0 -473,024 0
Annual Time Burden (Hours) 263,294 116,421 0 0 146,873 0
Annual Cost Burden (Dollars) 5,480,827 5,238,964 0 0 241,863 0


Reginfo record details
  No