OMB control number

Records to be kept by Employers - Fair Labor Standards Act (FLSA)

OMB 1235-0030 · DOL/WHD.

OMB 1235-0030

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form WH-14 Application for Federal Certificate of Age	Form and Instruction
Form WH-5 Written Agreements to Claim Agricultural Student Learner Exemption to Youth Employment Restrictions	Form and Instruction
SS 1235-0030 11162020.docx	Supporting Statement A
29 CFR Parts 500 - 870.pdf	Supplementary Document
29 USC Sections 201 - 219.pdf	Supplementary Document
Tip Regulations Under the Fair Labor Standards Act NPRM (1235-0018) (published).pdf	Supplementary Document
Minimum Age Standards - Parental Consent	Information collection
Application for Authorized Basic Rate	Information collection
Records When Claiming Partial Overtime Exemption for Remedial Education	Information collection
Requirements of a Bona Fide Thrift or Savings Plan and a Bona Fide Profit Sharing Plan or Trust	Information collection
Recording Schools with WECEP students	Information collection
WECEP Written Training Agreement	Information collection
Work Experience and Career Exploration Program (WECEP)	Information collection
Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11-year-old Minors in Hand Harvesting of Short Season Crops	Information collection
Application for Federal Certificate of Age	Form and Instruction
General FLSA Records (Public Sector)	Information collection
Written Agreements to Claim Agricultural Student Learner Exemption to Youth Employment Restrictions	Form and Instruction
Written Agreements to Claim Non-Agricultural Student Learner Exemption to Youth Employment Restrictions	Information collection
Records on State/Local Government Employees Receiving Compensatory Time	Information collection
Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages	Information collection
Records on Messengers and Student Learners Paid Sub-Minimum Wages	Information collection
Records on Full-time Students Paid Sub-Minimum Wages	Information collection
Records on Certain Agricultural Emloyees (Employees)	Information collection
Records on Certain Agricultural Employees (Employers)	Information collection
Records on Tipped Employees	Information collection
Records When Paying Overtime on an "Applicable" or "Authorized" Basic Rate	Information collection
Records for Overtime Payments Based on Trip Rate Plans	Information collection
Petitions for Review and Reconsideration	Information collection
General FLSA Records (Private Sector)	Information collection

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202007-1235-002	New collection (Request for a new OMB Control Number)	2020-12-30
201908-1235-001	New collection (Request for a new OMB Control Number)	2019-10-08		Comment filed on proposed rule