Information Collection

Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages

IC 178587 under ICR 201607-1235-002 · OMB 1235-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0018 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 525.16 29 CFR 525.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,100	Number of Respondents for Small Entity: 2,100

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	336,000	336,000
Annual IC Time Burden (Hours)	168,000	168,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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