Information Collection Request

Government Contractor Paid Sick Leave

ICR 202504-1235-002 · OMB 1235-0029 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1235-0029 Supporting Statement v3.1 (2026-02-11).docx Supporting Statement A Uploaded 2026-02-11 Available
NFIBcommentltrtoLABORandOMBoninfocollectionpaidsickleavecontractorsOct2of2025 (002).pdf Public Comments Uploaded 2025-10-02 Available
1235 - 0029 Public Comment.pdf Public Comments Uploaded 2025-08-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
219209 Notice After Separation and Reinstatement Modified
219207 Notice of Denial Modified
219206 Notice of Accrued Sick Leave Modified
219205 Records of Cash Out Modified
219204 Records of Paid Sick Leave Modified
219203 Certification Paid Sick Leave Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2029 36 Months From Approved 03/31/2026
39,049,276 0 30,700,566
769,122 0 604,685
1,598,951 0 1,168,157





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
Certification Paid Sick Leave
Notice After Separation and Reinstatement
Notice of Accrued Sick Leave
Notice of Denial
Records of Cash Out
Records of Paid Sick Leave

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 39,049,276 30,700,566 0 0 8,348,710 0
Annual Time Burden (Hours) 769,122 604,685 0 0 164,437 0
Annual Cost Burden (Dollars) 1,598,951 1,168,157 0 0 430,794 0


Reginfo record details
  No