Information Collection

Homeworker Handbook

IC 195817 under ICR 202410-1235-003 · OMB 1235-0001.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-75 Homeworker Handbook	Form and Instruction
Form WH-75 Homeworker Handbook Homeworker Handbook	Form and Instruction
Form WH-75sp Manual Para Empleado(a) Casero(a) 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

IC Title:

Homeworker Handbook

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 516.3(c)

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	WH-75			https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-75.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-75sp			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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,336,800	1,336,800
Annual IC Time Burden (Hours)	668,400	668,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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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