OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Records to be kept by Employers- Fair Labor Standards Act (FLSA)

ICR 201908-1235-001 · OMB 1235-0030 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form WH-14 Application for Federal Certificate of Age Form and Instruction New Available
Form WH-5 Written Agreements to Claim Agricultural Student Learner Exemption to Youth Employment Restrictions Form and Instruction New Repair queued
SS1235-0018 Tips 08-29-19.doc Supporting Statement A Uploaded 2019-09-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
237454 Minimum Age Standards - Parental Consent New
237453 Application for Authorized Basic Rate New
237452 Records When Claiming Partial Overtime Exemption for Remedial Education New
237451 Requirements of a Bona Fide Thrift or Savings Plan and a Bona Fide Profit Sharing Plan or Trust New
237450 Recording Schools with WECEP students New
237449 WECEP Written Training Agreement New
237448 Work Experience and Career Exploration Program (WECEP) New
237447 Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11-year-old Minors in Hand Harvesting of Short Season Crops New
237446 Application for Federal Certificate of Age Form and Instruction New
237445 General FLSA Records (Public Sector) New
237444 Written Agreements to Claim Agricultural Student Learner Exemption to Youth Employment Restrictions Form and Instruction New
237443 Written Agreements to Claim Non-Agricultural Student Learner Exemption to Youth Employment Restrictions New
237442 Records on State/Local Government Employees Receiving Compensatory Time New
237441 Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages New
237440 Records on Messengers and Student Learners Paid Sub-Minimum Wages New
237439 Records on Full-time Students Paid Sub-Minimum Wages New
237438 Records on Certain Agricultural Emloyees (Employees) New
237437 Records on Certain Agricultural Employees (Employers) New
237436 Records on Tipped Employees New
237435 Records When Paying Overtime on an "Applicable" or "Authorized" Basic Rate New
237434 Records for Overtime Payments Based on Trip Rate Plans New
237433 Petitions for Review and Reconsideration New
237432 General FLSA Records (Private Sector) New
ICR Details
1235-0030 201908-1235-001
Historical Inactive
DOL/WHD
Records to be kept by Employers- Fair Labor Standards Act (FLSA)
New collection (Request for a new OMB Control Number)   No
Regular
Comment filed on proposed rule 12/10/2019
Retrieve Notice of Action (NOA) 10/08/2019
In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0
Records required to be kept by employers to maintain compliance with Fair Labor Standards Act (FLSA) 29 U.S.C. 201 et seq.. This is a proxy created mirroring the collection in 1235-0018 to allow the collection to be considered by OMB for two separate actions simultaneously.
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 207(e)(8) 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
   US Code: 29 USC 207(e)(3) Name of Law: Fair Labor Standards Act
   EO: EO 13658 Name/Subject of EO: Establishing a Minimum Wage for Federal Contractors
   EO: EO 13706 Name/Subject of EO: Establishing Paid Sick Leave for Federal Contractors
  
US Code: 29 USC 203 Name of Law: Fair Labor Standards Act
1235-AA21 Proposed rulemaking 84 FR 53956 10/08/2019
  84 FR 53956 10/08/2019
84 FR 53956 10/08/2019
No
23
IC Title Form No. Form Name
Records on Certain Agricultural Emloyees (Employees)
Records on Full-time Students Paid Sub-Minimum Wages
General FLSA Records (Private Sector)
Petitions for Review and Reconsideration
Records for Overtime Payments Based on Trip Rate Plans
Records When Paying Overtime on an "Applicable" or "Authorized" Basic Rate
Records on Tipped Employees
Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages
Work Experience and Career Exploration Program (WECEP)
WECEP Written Training Agreement
Recording Schools with WECEP students
Records When Claiming Partial Overtime Exemption for Remedial Education
Records on Messengers and Student Learners Paid Sub-Minimum Wages
Records on State/Local Government Employees Receiving Compensatory Time
Written Agreements to Claim Non-Agricultural Student Learner Exemption to Youth Employment Restrictions
Records on Certain Agricultural Employees (Employers)
Written Agreements to Claim Agricultural Student Learner Exemption to Youth Employment Restrictions WH-5 Certificate of Training
General FLSA Records (Public Sector)
Application for Federal Certificate of Age WH-14 Application for Federal Certificate of Age
Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11-year-old Minors in Hand Harvesting of Short Season Crops
Requirements of a Bona Fide Thrift or Savings Plan and a Bona Fide Profit Sharing Plan or Trust
Application for Authorized Basic Rate
Minimum Age Standards - Parental Consent
No
No
This will show a burden reduction from those submitted under 1235-0018 as the Overtime Final Rule from 2016 never went into effect due to litigation. As a result, the regulatory familiarization and increased recordkeeping burdens stemming from that rule have been removed.
$0
No
    Yes
    No
No
No
No
Uncollected
Robert Waterman 202 693-0805 [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.
10/08/2019