Contact Us Form

Employment Information Form

Documents and Forms

Document Name Document Type
WHD Contact Us Landing Page 2024-05-30.pdf www.dol.gov/agencies/whd/contact Instruction
Contact Wage and Hour Division General Inquiry Form WHD General Inquiry Form 09.24.24.pdf www.dol.gov/agencies/whd/contact Form and Instruction
Contact CL Wage and Hour Division General Inquiry Form- CL WHD General Inquiry Form with Child Labor 09.24.24.pdf www.dol.gov/agencies/whd/contact Form and Instruction

Information Collection (IC) Details

IC Title:	Contact Us Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 4 29 CFR 5 29 CFR 10 29 CFR 500-795 29 CFR 801 29 CFR 825 29 CFR 23 29 CFR 870 29 CFR 9 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			WHD Contact Us Landing Page 2024-05-30.pdf	https://www.dol.gov/agencies/whd/contact	Yes	Yes	Printable Only
Form and Instruction	Contact	Wage and Hour Division General Inquiry Form	WHD General Inquiry Form 09.24.24.pdf	https://www.dol.gov/agencies/whd/contact	Yes	Yes	Fillable Fileable
Form and Instruction	Contact CL	Wage and Hour Division General Inquiry Form- CL	WHD General Inquiry Form with Child Labor 09.24.24.pdf	https://www.dol.gov/agencies/whd/contact	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 106,793	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	106,793	106,793
Annual IC Time Burden (Hours)	17,799	17,799
Annual IC Cost Burden (Dollars)	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.