OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATIONS FOR SPECIAL CERTIFICATES UNDER FLSA REQUIREMENTS

ICR 198009-1215-008 · OMB 1215-0005 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
121777 APPLICATIONS FOR SPECIAL CERTIFICATES UNDER FLSA REQUIREMENTS Form Migrated
ICR Details
1215-0005 198009-1215-008
Historical Active 197912-1215-001
DOL/ESA
APPLICATIONS FOR SPECIAL CERTIFICATES UNDER FLSA REQUIREMENTS
Revision of a currently approved collection   No
Regular
Approved without change 12/11/1980
Retrieve Notice of Action (NOA) 09/18/1980
  Inventory as of this Action Requested Previously Approved
06/30/1983 06/30/1983 01/31/1984
32,300 0 26,750
17,000 0 15,391
0 0 0
SUBJECT FORMS ARE NECESSARY TO COLLECT DATA AND TO INSURE THE MAINTENANCE OF WAGE AND HOUR STANDARDS ESTABLISHED UNDER THE FLSA. FORMS ESPECIALLY RELATED TO SECTIONS 11 (D), 14 (A) AND 14 (C) OF THE ACT. ALL FORMS ARE EITHER APPLICATIONS FOR PARTIAL EXEMPTION TO MINIMUM WAGE PROVISIONS OF THE ACT OR PROVIDE DATA SUPPLEMENTAL TO EACH APPLICATION.
None
None
No
1
IC Title Form No. Form Name
APPLICATIONS FOR SPECIAL CERTIFICATES UNDER FLSA REQUIREMENTS WH-2, 205,, 222,, 226,, 227,, 247,, 249,, & 373
  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 32,300 26,750 0 5,550 0 0
Annual Time Burden (Hours) 17,000 15,391 0 1,609 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/18/1980