OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application to Employ Homeworkers; Piece Rate Measurements; and Homeworker Handbooks

ICR 201003-1235-019 · OMB 1235-0019 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form WH-46 Application to Employ Homeworkers Form Modified Available
Form WH-75 Homeworker Handbook Form New Repair queued
SS 1215-0013 6-04-09.doc Supporting Statement A Uploaded 2009-06-04 Available
IC Document Collections
IC IDCollectionTypeStatusForm
43803 Application to Employ Homeworkers Form Modified
188122 Piece Rate Measurements New
188121 Homeworker Handbook Form New
ICR Details
1235-0019 201003-1235-019
Historical Active 200604-1215-001
DOL/WHD
Application to Employ Homeworkers; Piece Rate Measurements; and Homeworker Handbooks
Extension without change of a currently approved collection   No
Regular
Approved without change 03/12/2010
Retrieve Notice of Action (NOA) 03/12/2010
  Inventory as of this Action Requested Previously Approved
10/31/2012 36 Months From Approved
1,208,195 0 1,208,195
614,241 0 614,241
11 0 0
The reporting and recordkeeping requirements for employers and employees in industries employing homeworkers are necessary to insure employees are paid in compliance with the Fair Labor Standards Act (FLSA).
US Code: 29 USC 211(d) Name of Law: Fair Labor Standards Act
  
None
Not associated with rulemaking
  74 FR 17544 04/15/2009
74 FR 45879 09/04/2009
No
  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 1,208,195 1,208,195 0 0 0 0
Annual Time Burden (Hours) 614,241 614,241 0 0 0 0
Annual Cost Burden (Dollars) 11 0 0 0 11 0
No
No
No program changes or adjustments to report.
$5,984
No
No
Uncollected
Uncollected
No
Uncollected
Michel Smyth 202 693-0638 [email protected]
  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.
09/04/2009