Information Collection

WHD Contact Us - web form

IC 268441 under ICR 202409-1225-001 · OMB 1225-0059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
WHD Contact Us - web form	Form and Instruction
WHD Contact Us -- Web form Wage and Hour Division Contact us page v1.2 (2024-06-10)_MN clean.docx webapps.dol.gov/contactwhd/Default.aspx	Form and Instruction
WHD Contact Us -- Web form Wage and Hour Division Contact us page v1.2 (2024-06-10)_MN clean.docx webapps.dol.gov/contactwhd/Default.aspx	Form and Instruction
1225-0059 Generic Clearance Submission WHD Contact Us Form v1.1 (2024-06-11).docx Supporting Statement	IC Document
1225-0059 Generic Clearance Submission WHD Contact Us Form v1.1 (2024-06-11).docx Supporting Statement	IC Document

IC Title:

WHD Contact Us - web form

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	WHD Contact Us -- Web form	Wage and Hour Division Contact us page v1.2 (2024-06-10)_MN clean.docx	https://webapps.dol.gov/contactwhd/Default.aspx	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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	1225-0059 Generic Clearance Submission WHD Contact Us Form v1.1 (2024-06-11).docx	06/11/2024

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