Notice to Employee of Change of 12-Month Period for Determining Entitlement (Private Sector)

The Family and Medical Leave Act of 1993, As Amended

OMB: 1235-0003

IC ID: 178653

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Notice to Employee of Change of 12-Month Period for Determining Entitlement (Private Sector)
 
No Unchanged
 
Mandatory
 
29 CFR 825.200(d)(1), (e)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Workforce Management Labor Rights Management

 

29,030 19,488
   
Private Sector Farms, 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 6,455,693 0 0 0 0 6,455,693
Annual IC Time Burden (Hours) 4,838 0 0 0 0 4,838
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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