Information Collection

Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages

IC 195807 under ICR 202410-1235-004 · OMB 1235-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-226 Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Form and Instruction
Form WH-226 Application for Authority to Employ Workers with Disabilities at Subminimum Wages Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Form and Instruction
Form WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages	Form and Instruction
Instructions for Forms WH-226 & WH-226A.docx www.dol.gov/agencies/whd/forms/wh226	Instruction
Instructions for Forms WH-226 & WH-226A.docx www.dol.gov/agencies/whd/forms/wh226	Instruction
WH-226 Application for Authority to Employ Workers with Disabil Form WH-226 Application for Authority to Employ Workers with Disabilities at Subminimum Wages.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226.pdf	Form and Instruction
WH-226 Application for Authority to Employ Workers with Disabil Form WH-226 Application for Authority to Employ Workers with Disabilities at Subminimum Wages.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226.pdf	Form and Instruction
WH-226A Supplemental Data Sheet for Application for Authority to Form WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilties at Subminimum Wages.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226A.pdf	Form and Instruction
WH-226A Supplemental Data Sheet for Application for Authority to Form WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilties at Subminimum Wages.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226A.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages

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 525.11-.13 29 CFR 525.7-.9

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-226	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-226A	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226A.pdf	Yes	No	Fillable Printable
Instruction		https://www.dol.gov/agencies/whd/forms/wh226	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 441

Number of Respondents for Small Entity: 441

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,668	-23	1,691
Annual IC Time Burden (Hours)	3,005	-19	3,024
Annual IC Cost Burden (Dollars)	2,217	-26	2,243

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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