OMB control number

Family and Medical Leave Act, Wave 4 Surveys

OMB 1290-0015 · DOL/OS.

OMB 1290-0015

This ICR seeks PRA authority for the Family and Medical Leave Act (FMLA), Wave 4 Surveys information collection to study the FMLA by conducting a fourth 'wave' of nationally representative surveys of employees and employers covered by the provisions of FMLA. The survey findings will update and expand upon the knowledge gained from the earlier survey waves.

The latest form for Family and Medical Leave Act, Wave 4 Surveys expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Justification for Non-substantive Change FMLA 072919.docx Justification for No Material/Nonsubstantive Change
FMLA Wave 3 Survey NonResponse Bias Analysis_021318.docx Supplementary Document
FMLA 4 Surveys 30 Day Notice_DOL responses to public comments_10-16-2017.docx Supplementary Document
FMLA4_Employer_Job aid _11_2_2017.docx Supplementary Document
FMLA4_Employee_Job aid_11_2_2017.docx Supplementary Document
FMLA Wave 4 Surveys_OMB Part A_7.25.2017.docx Supporting Statement A
FMLA 4 Attachment H Institutional_Review_Board_Notice_of_Approval_study_modification_2016.pdf Supplementary Document
signed Part B review April 2017.pdf Supplementary Document
FMLA Wave 4 Surveys_OMB Attachment G_Weighting and Estimation Procedures_3-17-17.docx Supplementary Document
FMLA Wave 4 Surveys_OMB Attachment F_Privacy Statement_3-17-17.docx Supplementary Document
FMLA Wave 4 Surveys_OMB Attachment E_Public Comments and DOL Responses_3-17-17.docx Supplementary Document
FMLA Wave 4 Surveys_OMB Attachment D_Federal Register Notice.pdf Supplementary Document
FMLA Wave 4 Surveys_OMB Attachment C_Advance Letter to Employers_3-17-17.doc Supplementary Document
FMLA Wave 4 Surveys_OMB Part B_7.25.2017.docx Supporting Statement B
Employer Extended Interview Other-Employer Interview Guide
Employer Screener Survey Other-Employer Screener Survey
Employee Non-Response Follow-up Survey Other-Employee non-response survey
Employee Extended Interview Other-Employee Interview Guide
Employee Screener Survey Other-Survey

All Historical Document Collections

201907-1290-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2019-09-12
201703-1290-001 Approved without change	New collection (Request for a new OMB Control Number)	2017-09-01

OMB Details

Employee Screener Survey

Federal Enterprise Architecture: Workforce Management - Labor Rights Management