Information Collection

Employment Under Special Certificates Students Learners

IC 195805 under ICR 202103-1235-002 · OMB 1235-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0001 can be found here:

Documents and Forms

Document Name Document Type
INSTRUCTIONS For FORM WH-200 wh-201 wh-202.docx www.dol.gov/agencies/whd/forms/wh200-wh201-wh202 Instruction
INSTRUCTIONS For FORM WH-200 wh-201 wh-202.docx www.dol.gov/agencies/whd/forms/wh200-wh201-wh202 Instruction
WH-200 Application for Authority to Employ Full-Time Students a wh-200.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-200.pdf Form and Instruction
WH-200 Application for Authority to Employ Full-Time Students a wh-200.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-200.pdf Form and Instruction
WH-201 Higher Education to Employ its Full-time Students at Sub wh-201.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-201.pdf Form and Instruction
WH-201 Higher Education to Employ its Full-time Students at Sub wh-201.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-201.pdf Form and Instruction
WH-202 Application for Authority to Employ Six or Fewer Full-Ti wh-202.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-202.pdf Form and Instruction
WH-202 Application for Authority to Employ Six or Fewer Full-Ti wh-202.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-202.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Employment Under Special Certificates Students Learners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 519.11 29 CFR 519.13-.16 29 CFR 519.3-.6

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			INSTRUCTIONS For FORM WH-200 wh-201 wh-202.docx	https://www.dol.gov/agencies/whd/forms/wh200-wh201-wh202	Yes	No	Printable Only
Form and Instruction	WH-200	Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 C.F.R. Part 519	wh-200.pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-200.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-201	Higher Education to Employ its Full-time Students at Subminimum Wages Under Regulations 29 C.F.R. Part 519	wh-201.pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-201.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-202	Application for Authority to Employ Six or Fewer Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 C.F.R. Part 519	wh-202.pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-202.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 112	Number of Respondents for Small Entity: 112

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	112	-423	535
Annual IC Time Burden (Hours)	55	-74	129
Annual IC Cost Burden (Dollars)	65	-213	278

Documents for IC

Title	Document	Date Uploaded
No associated records found

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