Information Collection Request

Payroll Records to be Kept by Employers

ICR 201405-1235-002 · OMB 1235-0018 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form WH-14 Application for Federal Certificate of Age Form and Instruction Unchanged Repair queued
Form WH-5 Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions Form and Instruction Unchanged Available
Executive Order 13658.docx Supplementary Document Uploaded 2014-06-03 Available
whdfs21.pdf Supplementary Document Uploaded 2012-06-25 Available
SS1235-0018 (20140617).doc Supporting Statement A Uploaded 2014-06-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
207305 Minimum Age Standards - Parental Consent Unchanged
192422 Application for Authorized Basic Rate Unchanged
192421 Records When Claiming Partial Overtime Exemption for Remedial Education Unchanged
192420 Requirements of a Bona Fide Thrift or Savings Plan and a Bona Fide Profit-Sharing Plan or Trust Unchanged
192419 Recording Schools With WECEP Students Unchanged
192418 WECEP Written Training Agreement Unchanged
192417 Work Experience and Career Exploration Program (WECEP) Application Unchanged
192416 Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting of Short Season Crops Unchanged
192415 Application for Federal Certificate of Age Form and Instruction Unchanged
192414 General Payroll Records (State, Local, and Tribal Governments) Modified
178590 Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions Form and Instruction Unchanged
178589 Written Agrrements to Claim the Non-Agricultural Student Learner Exemption to Youth Employment Resrtictions Unchanged
178588 Records on State/Local Government Employees Receiving Compensatory Time Unchanged
178587 Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages Unchanged
178586 Records on Messengers and Student Learners Paid Sub-Minimum Wages Unchanged
178585 Records on Full-Time Students Paid Sub-Minimum Wages Unchanged
178584 Records on Certain Agricultural Employees (Employees) Unchanged
178520 Records on Certain Agricultural Employees (Employers) Unchanged
178518 Records on Tipped Employees Unchanged
178515 Records When Paying Overtime on an "Applicable " or "Authorized Basic" Rate Unchanged
178513 Records for Overtime Payments Based on Trip Rate Plans Unchanged
178510 Petitions for Review and Reconsideration Unchanged
13628 General Payroll Records (Private Sector) Modified
ICR Details
1235-0018 201405-1235-002
Historical Inactive 201310-1235-001
DOL/WHD
Payroll Records to be Kept by Employers
Revision of a currently approved collection   No
Regular
Comment filed on proposed rule and continue 08/13/2014
Retrieve Notice of Action (NOA) 06/17/2014
The information collection requirements contained in the proposed rule are not approved at this time. DOL will resubmit this request for approval at the final rule stage and will address any comments received on the requirements.
  Inventory as of this Action Requested Previously Approved
09/30/2016 09/30/2016 09/30/2016
40,998,533 0 40,998,533
1,250,164 0 1,250,164
0 0 0

Employers respond to these information collections to document compliance with the Fair Labor Standards Act (FLSA), 29 U.S.C. 201, et seq. and other Federal payroll requirements.

US Code: 29 USC 207(e)(3) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 207(e)(8) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 207(q) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 211(c) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 213(c) Name of Law: Fair Labor Standards Act
   US Code: 29 USC 203(l) Name of Law: Fair Labor Standards Act
  
None

1235-AA10 Proposed rulemaking 79 FR 34568 06/17/2014

  78 FR 16299 03/14/2013
78 FR 60458 10/25/2013
No

23
IC Title Form No. Form Name
Application for Authorized Basic Rate
Application for Federal Certificate of Age WH-14 Application for Federal Certificate of Age
General Payroll Records (Private Sector)
General Payroll Records (State, Local, and Tribal Governments)
Minimum Age Standards - Parental Consent
Petitions for Review and Reconsideration
Recording Schools With WECEP Students
Records When Claiming Partial Overtime Exemption for Remedial Education
Records When Paying Overtime on an "Applicable " or "Authorized Basic" Rate
Records for Overtime Payments Based on Trip Rate Plans
Records on Certain Agricultural Employees (Employees)
Records on Certain Agricultural Employees (Employers)
Records on Full-Time Students Paid Sub-Minimum Wages
Records on Messengers and Student Learners Paid Sub-Minimum Wages
Records on State/Local Government Employees Receiving Compensatory Time
Records on Tipped Employees
Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages
Requirements of a Bona Fide Thrift or Savings Plan and a Bona Fide Profit-Sharing Plan or Trust
WECEP Written Training Agreement
Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting of Short Season Crops
Work Experience and Career Exploration Program (WECEP) Application
Written Agreements to Claim the Agricultural Student Learner Exemption to Youth Employment Resrtictions WH-5 Certificate of Training
Written Agrrements to Claim the Non-Agricultural Student Learner Exemption to Youth Employment Resrtictions

No
No

$0
No
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.
06/17/2014