OMB control number

Paid Leave Under the Families First Coronavirus Response Act

OMB 1235-0031 · DOL/WHD.

OMB 1235-0031

On March 18, 2020, the President signed the Families First Coronavirus Response Act into law (Pub. L. 116-127. The Act provides for paid sick leave for some employees and an expansion of the family and medical leave law.

The latest form for Paid Leave Under the Families First Coronavirus Response Act expires 2021-01-31 and is listed under ICR 202003-1235-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
PL 116-127 (FFCRA).pdf	Supplementary Document
1235-0031 30-day FRN (published).pdf	Supplementary Document
60-day FR notice 1235-0031 (85 FR 20723-20200414).pdf	Supplementary Document
empsit June 2020.pdf	Supplementary Document
ss1235-0031 extension 20200824.docx	Supporting Statement A
ER notice to EE of failure to meet notice req (federal)	Information collection
ER notice to EE failure to meet notice req (State/local/tribal)	Information collection
ER notice to EE of failure to meet notice req (private)	Information collection
ER recordkeeping (Federal) EPSlA	Information collection
ER recordkeeping (public State/local/tribal) EPSLA	Information collection
ER recordkeeping (private) EPSLA	Information collection
Small Employer Exemption (State/local/tribal)	Information collection
Small Employer Exemption Record (Private)	Information collection
EFMLEA Employer Record (Federal)	Information collection
EFMLEA Employer Record (State/local/tribal)	Information collection
EFMLEA Employer Record (private)	Information collection
EFMLEA Employee Notice (Federal)	Information collection
EFMLEA Employee Notice (State/local/tribal)	Information collection
EFMLEA Employee Notice (private)	Information collection
Tax Credit Records (Federal)	Information collection
Tax Credit Records (State/local/tribal)	Information collection
Tax Credit Records (private)	Information collection
Concurrent Leave Notice (Federal)	Information collection
Concurrent Leave Notice (State/local/tribal)	Information collection
Concurrent leave notice (private)	Information collection
Health Benefits Notice (private)	Information collection
Health Care Provider Certification (Federal)	Information collection
Health Care Provider Certification (State/local/tribal)	Information collection
Health Care Provider Certification (private)	Information collection
Paid Sick Leave Notice of Need for Leave (Federal)	Information collection
Paid Sick Leave Notice of Need for Leave (state, local, tribal)	Information collection
Paid Sick Leave Notice of Need for Leave (private)	Information collection

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202005-1235-003	Revision of a currently approved collection	2020-09-22
202003-1235-002	New collection (Request for a new OMB Control Number)	2020-04-01		Approved with change

OMB Details

Paid Sick Leave Notice of Need for Leave (private)

Federal Enterprise Architecture: Workforce Management - Labor Rights Management