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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Employment Information Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
29 CFR 501.5
29 CFR 4.191
29 CFR 825.401
29 CFR 5.6
20 CFR 655.1200(b)
41 CFR 105.50-201.1202
29 CFR 501.1(c)
29 CFR 500.1(e)
29 CFR 801.7(a)(3)
29 CFR 10.41-.43
29 CFR 13.41-.43
29 CFR 826.152
29 CFR 810.800
29 CFR 23.410
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
WH-3-Sp
Employment Information Form Spanish
wh3Sp.pdf
No
Paper Only
Form and Instruction
WH-3
Employment Information Form
wh3.pdf
No
Paper Only
Instruction
How to file a complaint - Haitian Creole.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Hait.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- Vietnamese.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Viet.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- Russian.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Russian.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- Thai.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Thai.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- Tagalog.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_TAGALOG.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- Polish.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Polish.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- Chinese.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_CHINESE.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- Korean.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Korean.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- Spanish.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint_Spanish.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- English.pdf
http://www.dol.gov/whd/flsa/WHD1498HowToFileAComplaint.pdf
Yes
No
Printable Only
Instruction
How to file a complaint- English.pdf
http://www.dol.gov/wecanhelp/howtofilecomplaint.htm
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Labor Rights Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
38,244
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
38,244
0
0
169
0
38,075
Annual IC Time Burden (Hours)
12,748
0
0
56
0
12,692
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.