Information Collection

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

IC 13895 under ICR 200205-1215-002 · OMB 1215-0181.

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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: 4,700,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,107,000	964,500	9,142,500
Annual IC Time Burden (Hours)	718,529	72,904	645,625
Annual IC Cost Burden (Dollars)	0	0	0

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