Homeworker Handbook

Fair Labor Standards Act Special Employment Provisions

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form WH-75 Homeworker Handbook Form and Instruction
WH-75 Homeworker Handbook WH-75 - Homeworker Handbook.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-75.pdf Form and Instruction
WH-75 Homeworker Handbook WH-75 - Homeworker Handbook.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-75.pdf Form and Instruction
WH-75sp Manual Para Empleado(a) Casero(a) WH-75 - Homeworker Handbook (Spanish).pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH75SP.pdf Form and Instruction
WH-75sp Manual Para Empleado(a) Casero(a) WH-75 - Homeworker Handbook (Spanish).pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH75SP.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Homeworker Handbook	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 516.3(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-75	Homeworker Handbook	WH-75 - Homeworker Handbook.pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-75.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-75sp	Manual Para Empleado(a) Casero(a)	WH-75 - Homeworker Handbook (Spanish).pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH75SP.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 334,200	Number of Respondents for Small Entity: 250,000

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,336,800	0	1,336,800
Annual IC Time Burden (Hours)	668,400	-11,140	679,540
Annual IC Cost Burden (Dollars)	0	0	0

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.