OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202007-1235-002 · OMB 1235-0030 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form WH-14 Application for Federal Certificate of Age Form and Instruction Modified Missing upstream
Form WH-5 Written Agreements to Claim Agricultural Student Learner Exemption to Youth Employment Restrictions Form and Instruction Modified Repair queued
SS 1235-0030 11162020.docx Supporting Statement A Uploaded 2020-12-30 Missing upstream
29 CFR Parts 500 - 870.pdf Supplementary Document Uploaded 2020-12-30 Missing upstream
29 USC Sections 201 - 219.pdf Supplementary Document Uploaded 2020-12-30 Repair queued
Tip Regulations Under the Fair Labor Standards Act NPRM (1235-0018) (published).pdf Supplementary Document Uploaded 2020-12-30 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
237454 Minimum Age Standards - Parental Consent Modified
237453 Application for Authorized Basic Rate Modified
237452 Records When Claiming Partial Overtime Exemption for Remedial Education Modified
237451 Requirements of a Bona Fide Thrift or Savings Plan and a Bona Fide Profit Sharing Plan or Trust Modified
237450 Recording Schools with WECEP students Modified
237449 WECEP Written Training Agreement Modified
237448 Work Experience and Career Exploration Program (WECEP) Modified
237447 Waiver of Child Labor Provisions for Agricultural Employment of 10 and 11-year-old Minors in Hand Harvesting of Short Season Crops Modified
237446 Application for Federal Certificate of Age Form and Instruction Modified
237445 General FLSA Records (Public Sector) Modified
237444 Written Agreements to Claim Agricultural Student Learner Exemption to Youth Employment Restrictions Form and Instruction Modified
237443 Written Agreements to Claim Non-Agricultural Student Learner Exemption to Youth Employment Restrictions Modified
237442 Records on State/Local Government Employees Receiving Compensatory Time Modified
237441 Records on Workers with Disabilities and Patient Workers Paid Sub-Minimum Wages Modified
237440 Records on Messengers and Student Learners Paid Sub-Minimum Wages Modified
237439 Records on Full-time Students Paid Sub-Minimum Wages Modified
237438 Records on Certain Agricultural Emloyees (Employees) Modified
237437 Records on Certain Agricultural Employees (Employers) Modified
237436 Records on Tipped Employees Modified
237435 Records When Paying Overtime on an "Applicable" or "Authorized" Basic Rate Modified
237434 Records for Overtime Payments Based on Trip Rate Plans Modified
237433 Petitions for Review and Reconsideration Modified
237432 General FLSA Records (Private Sector) Modified
ICR Details
1235-0030 202007-1235-002
Received in OIRA 201908-1235-001
DOL/WHD
Records to be kept by Employers - Fair Labor Standards Act (FLSA)
New collection (Request for a new OMB Control Number)   No
Regular 12/30/2020
  Requested Previously Approved
36 Months From Approved
43,709,493 0
983,359 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 Final or interim final rulemaking 85 FR 86756 12/30/2020
Yes
23
IC Title Form No. Form Name
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 Certain Agricultural Emloyees (Employees)
Records on Full-time Students Paid Sub-Minimum Wages
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
  Total Request 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 43,709,493 0 0 43,709,493 0 0
Annual Time Burden (Hours) 983,359 0 0 983,359 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a duplicate to allow the Department to process multiple agency actions involving 1235-0018. The number of respondents for the recordkeeping requirement is the same as listed at time of NPRM. The Department will combine once all agency actions are final and discontinue this OMB control number (1235-0030).
$0
No
    Yes
    No
No
No
No
No
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.
12/30/2020