Periodic Employee Status Report

The Family and Medical Leave Act of 1993, As Amended

OMB: 1235-0003

IC ID: 182083

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Periodic Employee Status Report
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
29 CFR 825.311

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

Workforce Management Labor Rights Management

 

175,682 0
   
Individuals or Households
 
   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 351,364 0 0 0 0 351,364
Annual IC Time Burden (Hours) 11,712 0 0 0 0 11,712
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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