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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR A CERTIFICATE TO EMPLOY LEARNERS AT A WAGE L ESS THAN THE APPLICABLE WAGE ORDER MINIMUM UNDER THE FLSA

ICR 197611-1215-002 · OMB 1215-0048 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
121939 APPLICATION FOR A CERTIFICATE TO EMPLOY LEARNERS AT A WAGE L ESS THAN THE APPLICABLE WAGE ORDER MINIMUM UNDER THE FLSA Form Migrated
ICR Details
1215-0048 197611-1215-002
Historical Active 197604-1215-002
DOL/ESA
APPLICATION FOR A CERTIFICATE TO EMPLOY LEARNERS AT A WAGE L ESS THAN THE APPLICABLE WAGE ORDER MINIMUM UNDER THE FLSA
Extension without change of a currently approved collection   No
Regular
Approved without change 11/18/1976
Retrieve Notice of Action (NOA) 11/09/1976
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981 12/31/1976
12 0 25
6 0 25
0 0 0
REPORT IS USED BY EMPLOYERS TO REQUEST AUTHORITY TO EMPLOY LEARNERS AT SUBMINIMUN WAGE RATES. REPORT IS AUTHORIZED BY THE FAIR LABOR STANDARDS ACT, SECTION 14 (A).
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR A CERTIFICATE TO EMPLOY LEARNERS AT A WAGE L ESS THAN THE APPLICABLE WAGE ORDER MINIMUM UNDER THE FLSA WH-221
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 12 25 0 0 -13 0
Annual Time Burden (Hours) 6 25 0 0 -19 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/09/1976