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Federal forms, ICRs, and supporting documents

Information Collection

Notice to Employee of FMLA Designation (State, local, tribal)

IC 186899 under ICR 202605-1235-003 · OMB 1235-0003.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Notice to Employee of FMLA Designation (State, local, tribal)
 
No Modified
 
Mandatory
 
29 CFR 825.127(c)(4) 29 CFR 825.312 29 CFR 825.305(c) 29 CFR 825.300(d) 29 CFR 825.301

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-382 Designation Notice under the Family and Medical Leave Act WH-382 02.05.20.docx https://www.dol.gov/whd/forms/WH-382.pdf Yes No Fillable Printable

Workforce Management Labor Rights Management

 

91,462 70,488
   
State, Local, and Tribal Governments
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,405,950 0 0 177,115 0 4,228,835
Annual IC Time Burden (Hours) 734,325 0 0 29,519 0 704,806
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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