Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages

Fair Labor Standards Act Special Employment Provisions

OMB: 1235-0001

IC ID: 195807

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0001 can be found here:

2024-10-09 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Document Name Document Type
Form WH-226 and WH-226A Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages Form and Instruction
Webpage - Proposed (2024-06-04).docx www.dol.gov/agencies/whd/forms/wh226 Instruction
Webpage - Proposed (2024-06-04).docx www.dol.gov/agencies/whd/forms/wh226 Instruction
WH-226 and WH-226A Section 14(c) certificate application electronic WH-226andWH-226A electronic form screen shots 6-12-20.pdf www.dol.gov/agencies/whd/workers-with-disabilities/section-14c/apply Form and Instruction
WH-226 and WH-226A Section 14(c) certificate application electronic WH-226andWH-226A electronic form screen shots 6-12-20.pdf www.dol.gov/agencies/whd/workers-with-disabilities/section-14c/apply Form and Instruction
WH-226 Application for Authority to Employ Workers with Disabil Form WH-226 - Proposed (2024-06-04).pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226.pdf Form and Instruction
WH-226 Application for Authority to Employ Workers with Disabil Form WH-226 - Proposed (2024-06-04).pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226.pdf Form and Instruction
WH-226A Supplemental Data Sheet for Application for Authority to Form WH-226A - Proposed (2024-06-04).pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226A.pdf Form and Instruction
WH-226A Supplemental Data Sheet for Application for Authority to Form WH-226A - Proposed (2024-06-04).pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226A.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 525.7-.9 29 CFR 525.11-.13

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-226 and WH-226A electronic	Section 14(c) certificate application electronic	WH-226andWH-226A electronic form screen shots 6-12-20.pdf	https://www.dol.gov/agencies/whd/workers-with-disabilities/section-14c/apply	Yes	Yes	Fillable Fileable
Form and Instruction	WH-226	Application for Authority to Employ Workers with Disabilities at Subminimum Wages	Form WH-226 - Proposed (2024-06-04).pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-226A	Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages	Form WH-226A - Proposed (2024-06-04).pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226A.pdf	Yes	No	Fillable Printable
Instruction			Webpage - Proposed (2024-06-04).docx	https://www.dol.gov/agencies/whd/forms/wh226	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 464	Number of Respondents for Small Entity: 464

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,691	-1,008	2,699
Annual IC Time Burden (Hours)	3,024	-1,746	4,770
Annual IC Cost Burden (Dollars)	2,243	1,315	928

Documents for IC

Title	Document	Date Uploaded
No associated records found

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