OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Family and Medical Leave Act Employer and Employee Surveys, 2011

ICR 201105-1235-001 · OMB 1235-0026 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
FMLA_OMB_Part_A_Final_to_OMB(FMLA 20110819).doc Supporting Statement A Uploaded 2011-08-19 Available
FMLA OMB Attachment B Confidentiality Statement_Final to OMB.doc Supplementary Document Uploaded 2011-07-28 Available
Copy of FMLA Employer Survey-2000 vs 2011 Question Crosswalk_Final to OMB.xls Supplementary Document Uploaded 2011-07-28 Repair queued
FMLA OMB Attachment D Estimation_Final to OMB.doc Supplementary Document Uploaded 2011-07-28 Available
FMLA OMB Attachment A advance letter-employers project info sheet_Final to OMB.doc Supplementary Document Uploaded 2011-07-28 Available
FMLA OMB Attachment A advance letter-employers_Final to OMB.doc Supplementary Document Uploaded 2011-07-28 Repair queued
FMLA OMB Attachment A advance letter-employees_Final to OMB.doc Supplementary Document Uploaded 2011-07-28 Repair queued
FMLA Employee Survey-2000 vs 2011 Question Crosswalk_Final to OMB.xls Supplementary Document Uploaded 2011-07-28 Repair queued
BLS SurveyMethodsResearch 3 4 2011.pdf Supplementary Document Uploaded 2011-07-28 Available
FMLA OMB Part B_Final to OMB (2).doc Supporting Statement B Uploaded 2011-07-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
198931 Family and Medical Leave Act Survey- Employee Survey Other-Telephone Survey New
198682 Family and Medical Leave Act Survey- Employer Survey Other-Telephone Survey New
ICR Details
1235-0026 201105-1235-001
Historical Active
DOL/WHD
Family and Medical Leave Act Employer and Employee Surveys, 2011
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/28/2011
Retrieve Notice of Action (NOA) 08/26/2011
This information collection request is approved with the revised sampling methodology and the following terms of clearance: (1) DOL will use its revised question on sexual identity in order to be more consistent with the HHS-developed question and submit a change request to revise, (2) DOL will proivde a real-time notification on its decision to continue or cease using incentives, based on the results of its experiment. (3) DOL will also provide the response rates and results of its nonresponse bias analyses of these surveys when completed.
  Inventory as of this Action Requested Previously Approved
12/31/2014 36 Months From Approved
21,072 0 0
3,456 0 0
0 0 0
The U.S. Department of Labor's Wage and Hour Division administers the Family and Medical Leave Act (FMLA), 29 U.S.C. 2601 et seq, 29 CFR Part 825. In 1996 and 2000, the Federal government funded the collection of nationally representative data on the FMLA from employers and employees. Given changes in economic conditions and the FMLA since the last employer and employee surveys, the Wage and Hour Division proposes to conduct an employer survey and an employee survey to obtain current representative data for FMLA leave usage in light of 18 years of administering the law and in light of changes to FMLA leave brought on by amendments to the FMLA. The survey data will provide an update to DOL's understanding of leave-taking behavior and employer/employee experiences with FMLA.
None
None
Not associated with rulemaking
  76 FR 18254 04/01/2011
76 FR 53491 08/26/2011
No
2
IC Title Form No. Form Name
Family and Medical Leave Act Survey- Employee Survey
Family and Medical Leave Act Survey- Employer Survey
  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 21,072 0 0 21,072 0 0
Annual Time Burden (Hours) 3,456 0 0 3,456 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The Department of Labor is performing a one-time survey of employers and employees to update its information with respect to the use of the entitlement for leave under the Family and Medical Leave Act of 1993. The burden hours and cost result from contacting employees and employees to survey their experiences with use of the leave entitlement.
$1,500,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Mary Ziegler 202 693-0517
  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.
08/26/2011