Information Collection

29 CFR Part 825, the Family and Medical Leave Act of 1993

IC 13893 under ICR 199606-1215-001 · OMB 1215-0181.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0181 can be found here:

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Information Collection (IC) Details

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IC Title:	29 CFR Part 825, the Family and Medical Leave Act of 1993	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH-380				No	No
Form	WH-381				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,900,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	9,142,500	6,642,500	2,500,000
Annual IC Time Burden (Hours)	645,625	520,625	125,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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