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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 195807 under ICR 202410-1235-004 · OMB 1235-0001.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Instruction
Form and 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 525.11-.13 29 CFR 525.7-.9

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-226 Application for Authority to Employ Workers with Disabilities at Subminimum Wages Form WH-226 Application for Authority to Employ Workers with Disabilities at Subminimum Wages.pdf https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226.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 Form WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilties at Subminimum Wages.pdf https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-226A.pdf Yes No Fillable Printable
Instruction Instructions for Forms WH-226 & WH-226A.docx https://www.dol.gov/agencies/whd/forms/wh226 Yes No Printable Only

Workforce Management Labor Rights Management

 

441 441
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Requested 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 1,668 0 -23 0 0 1,691
Annual IC Time Burden (Hours) 3,005 0 -19 0 0 3,024
Annual IC Cost Burden (Dollars) 2,217 0 -26 0 0 2,243

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