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Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages

IC 195807 under ICR 202002-1235-001 · OMB 1235-0001.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 525.7-.9 29 CFR 525.11-.13

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-226 and WH-226A electronic form Section 14c Certificate Application electronic OMB Screenshots wh-226 and wh-226a.pdf Yes Yes Fillable Fileable
Instruction Instructions for Form WH226 wh226a.docx https://www.dol.gov/agencies/whd/forms/wh226 Yes No Printable Only
Form and Instruction WH-226 Application for Authority to Employ Workers with Disabilities at Subminimum Wages wh226.pdf https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh226.pdf Yes No Fillable Printable
Form and Instruction WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages wh226a.pdf https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh226a.pdf Yes No Fillable Printable

Workforce Management Labor Rights Management

 

3,000 2,800
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 7,500 0 0 0 0 7,500
Annual IC Time Burden (Hours) 13,825 0 0 0 0 13,825
Annual IC Cost Burden (Dollars) 2,030 0 0 0 0 2,030

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