Employment Information Form

Employment Information Form

OMB: 1235-0021

IC ID: 13616

Information Collection (IC) Details

View Information Collection (IC)

Employment Information Form
 
No Modified
 
Voluntary
 
29 CFR 4.191 29 CFR 825.401 29 CFR 5.6 29 CFR 501.5 20 CFR 655.1200(b) 41 CFR 105.50-201.1202 29 CFR 501.1(c) 29 CFR 500.1(e) 29 CFR 801.7(a)(3) 29 CFR 10.41-.43 29 CFR 13.41-.43 29 CFR 826.152 29 CFR 810.800 29 CFR 23.410 29 CFR 9.21

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-3-Sp Employment Information Form Spanish wh3Sp.pdf No   Paper Only
Form and Instruction WH-3 Employment Information Form wh3.pdf No   Paper Only
Instruction How to file a complaint - Haitian Creole.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Hait.pdf Yes No Printable Only
Instruction How to file a complaint- Vietnamese.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Viet.pdf Yes No Printable Only
Instruction How to file a complaint- Russian.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Russian.pdf Yes No Printable Only
Instruction How to file a complaint- Thai.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Thai.pdf Yes No Printable Only
Instruction How to file a complaint- Tagalog.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_TAGALOG.pdf Yes No Printable Only
Instruction How to file a complaint- Polish.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Polish.pdf Yes No Printable Only
Instruction How to file a complaint- Chinese.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_CHINESE.pdf Yes No Printable Only
Instruction How to file a complaint- Korean.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Korean.pdf Yes No Printable Only
Instruction How to file a complaint- Spanish.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Spanish.pdf Yes No Printable Only
Instruction How to file a complaint- English.pdf http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint.pdf Yes No Printable Only
Instruction How to file a complaint- English.pdf http://www.dol.gov/wecanhelp/howtofilecomplaint.htm Yes No Printable Only

Workforce Management Labor Rights Management

 

27,010 0
   
Individuals or Households
 
   0 %

  Requested 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 27,010 0 0 -2,150 0 29,160
Annual IC Time Burden (Hours) 9,003 0 0 -717 0 9,720
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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