Records to be kept by Employers--Fair Labor Standards Act

OMB 1235-0018

Employers respond to these information collections to document compliance with the Fair Labor Standards Act (FLSA), 29 U.S.C. 201, et seq.

The latest form for Records to be kept by Employers--Fair Labor Standards Act expires 2022-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form WH-14 Application for Federal Certificate of Age Form and Instruction
Form WH-5 Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions Form and Instruction
empsitApr 2023.pdf Supplementary Document
Supporting Statement 1235-0018 v1.4.docx Supporting Statement A
Minimum Age Standards - Parental Consent
Application for Authorized Basic Rate
Records When Claiming Partial Overtime Exemption for Remedial Education
Requirements of a Bona Fide Thrift or Savings Plan and a Bona Fide Profit-Sharing Plan or Trust
Recording Schools With WECEP Students
WECEP Written Training Agreement
Work Experience and Career Exploration Program (WECEP) Application
Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting of Short Season Crops
Application for Federal Certificate of Age Form and Instruction
General FLSA Records (Public Sector)
Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions Form and Instruction
Written Agrrements to Claim the Non-Agricultural Student Learner Exemption to Youth Employment Resrtictions
Records on State/Local Government Employees Receiving Compensatory Time
Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages
Records on Messengers and Student Learners Paid Sub-Minimum Wages
Records on Full-Time Students Paid Sub-Minimum Wages
Records on Certain Agricultural Employees (Employees)
Records on Certain Agricultural Employees (Employers)
Records on Tipped Employees
Records When Paying Overtime on an "Applicable " or "Authorized Basic" Rate
Records for Overtime Payments Based on Trip Rate Plans
Petitions for Review and Reconsideration
General FLSA Records (Private Sector)

All Historical Document Collections

202306-1235-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2023-09-08
202111-1235-001 Approved without change	Revision of a currently approved collection	2021-11-24
202110-1235-001 Withdrawn and continue	Revision of a currently approved collection	2021-10-29
202105-1235-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2021-07-22
202102-1235-002 Approved without change	Revision of a currently approved collection	2021-02-24
202102-1235-001 Preapproved	Revision of a currently approved collection	2021-02-23
201907-1235-001 Approved without change	Revision of a currently approved collection	2019-09-27
201901-1235-001 Comment filed on proposed rule and continue	Revision of a currently approved collection	2019-03-22
201607-1235-002 Approved without change	Revision of a currently approved collection	2016-09-30
201605-1235-002 Approved without change	Revision of a currently approved collection	2016-05-23
201512-1235-003 Comment filed on proposed rule and continue	Revision of a currently approved collection	2016-02-25
201412-1235-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2015-07-09
201409-1235-002 Approved without change	Reinstatement with change of a previously approved collection	2014-10-07
201405-1235-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2014-06-17
201310-1235-001 Approved without change	Revision of a currently approved collection	2013-10-25
201205-1235-002 Preapproved	Revision of a currently approved collection	2013-02-07
201112-1235-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2011-12-27
201006-1235-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2011-09-02
201004-1235-001 Approved without change	Revision of a currently approved collection	2010-05-10
201003-1235-018 Approved without change	Extension without change of a currently approved collection	2010-03-12

OMB Details

General FLSA Records (Private Sector)

Federal Enterprise Architecture: Workforce Management - Labor Rights Management