Information Collection

Homeworker Handbook

IC 188121 under ICR 201003-1235-019 · OMB 1235-0019.

Documents and Forms

Document Name Document Type
Form WH-75 Homeworker Handbook Form
WH-75 Homeworker Handbook WH-75 english.Final Draft Version (8-28-09).pdf www.dol.gov/esa/WHD/forms/WH75EN.pdf Form
WH-75 Spanish Manual Para Empleado(a) Casero(a) WH75 spanish.Final Draft Version (8-18-09).pdf www.dol.gov/esa/WHD/forms/WH75SP.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Homeworker Handbook	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 516.31(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH-75	Homeworker Handbook	WH-75 english.Final Draft Version (8-28-09).pdf	http://www.dol.gov/esa/WHD/forms/WH75EN.pdf	Yes	No	Fillable Printable
Form	WH-75 Spanish	Manual Para Empleado(a) Casero(a)	WH75 spanish.Final Draft Version (8-18-09).pdf	http://www.dol.gov/esa/WHD/forms/WH75SP.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 302,005	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,208,020	1,208,020
Annual IC Time Burden (Hours)	614,077	614,077
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.