OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

29 C.F.R. Part 825, The Family and Medical Leave Act of 1993

OMB 1215-0181 ยท DOL/ESA.

OMB 1215-0181

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form WH-382 Notice to Employee of FMLA Designation (Federal)Form and Instruction
Form WH-381 Notice to Employee of FMLA Eligibilty and Rights & Responsibilities (Federal)Form and Instruction
Form WH-381 Notice to Employee of FMLA Eligibility and Rights & Responsibilities (State, local, tribal)Form and Instruction
Form WH-382 Notice to Employee of FMLA Designation (State, local, tribal)Form and Instruction
Form WH-382 Notice to Employee of FMLA Designation (Private Sector)Form and Instruction
Form WH-381 Notice to Employee of FMLA Eligibility and Rights & Responsibilities (Private Sector)Form and Instruction
Form WH-380-E Employee Certifications (Serious Health Condition, Recertification, Fitness-for-Duty; Call to Military Active Duty; Qualifying Exigency Due o Call to Military Active Duty; Servicemember Illness/InjuyForm and Instruction
1215-0181ss(20081212)[1].docSupporting Statement A
1215-0181 Note to the Reviewer(2008111).doc Supplementary Document
Notice to Employee of Change of 12-Month Period for Determining Entitlement (Federal) Information collection
Notice to Employee of Pending Cancellation of Health Benefits (Federal) Information collection
Notice to Employee of FMLA Designation (Federal) Form and Instruction
Key Employee Notification (Federal) Information collection
Notice to Employee of Change of 12-Month Period for Determining Entitlement (State, local, tribal) Information collection
Notice to Employee of FMLA Eligibilty and Rights & Responsibilities (Federal) Form and Instruction
Notice to Employee of FMLA Eligibility and Rights & Responsibilities (State, local, tribal) Form and Instruction
Notice to Employee of Pending Cancellation of Health Benefits (State, local, tribal) Information collection
Notice to Employee of FMLA Designation (State, local, tribal) Form and Instruction
General FMLA Recordkeeping (Federal) Information collection
Key Employee Notification (State, local, tribal) Information collection
General FMLA Recordkeeping (State, local, tribal) Information collection
Notice to Employee of Pending Cancellation of Health Benefits (Private Sector) Information collection
Documenting Family Relationship Information collection
Periodic Employee Status Report Information collection
Notice to Employee of FMLA Designation (Private Sector) Form and Instruction
General FMLA Recordkeeping (Private Sector) Information collection
Key Employee Notification (Private Sector) Information collection
Fitness-For-Duty Medical Certifications Information collection
Notice to Employee of Change of 12-Month Period for Determining Entitlement (Private Sector) Information collection
Written Guidance to Employees of FMLA Rights (Handbooks/Manuals) Information collection
Employee's Notice of Need for FMLA Leave Information collection
Notice to Employee of FMLA Eligibility and Rights & Responsibilities (Private Sector) Form and Instruction
Employee Certifications (Serious Health Condition, Recertification, Fitness-for-Duty; Call to Military Active Duty; Qualifying Exigency Due o Call to Military Active Duty; Servicemember Illness/Injuy Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200810-1215-003 Revision of a currently approved collection 2008-11-17 Approved with change
200709-1215-004 Revision of a currently approved collection 2008-02-11 Comment filed on proposed rule and continue
200702-1215-001 Extension without change of a currently approved collection 2007-06-14 Approved without change
200406-1215-001 Extension without change of a currently approved collection 2004-06-08 Approved without change
200306-1215-001 Extension without change of a currently approved collection 2003-06-12 Approved without change
200205-1215-002 Extension without change of a currently approved collection 2002-05-24 Approved without change
200001-1215-004 No material or nonsubstantive change to a currently approved collection 2000-01-20 Approved without change
199906-1215-004 Extension without change of a currently approved collection 1999-06-17 Approved without change
199606-1215-001 Revision of a currently approved collection 1996-06-05 Approved without change
199306-1215-002 New collection (Request for a new OMB Control Number) 1993-06-01 Approved without change