Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Documenting Family Relationship
Modified
186031
15502
0
Employee Certifications (Serious Health Condition, Recertification, Fitness-for-Duty; Call to Military Active Duty; Qualifying Exigency Due o Call to Military Active Duty; Servicemember Illness/Injuy
Modified
12125369
4025853
163467915
Employee's Notice of Need for FMLA Leave
Modified
14186680
472890
0
General FMLA Recordkeeping (State, local, tribal)
Unchanged
3481350
72528
0
General FMLA Recordkeeping (Federal)
Unchanged
3152
66
0
General FMLA Recordkeeping (Private Sector)
Unchanged
9934548
206970
0
Key Employee Notification (Federal)
Unchanged
11
1
0
Key Employee Notification (Private Sector)
Unchanged
31676
2640
0
Key Employee Notification (State, local, tribal)
Unchanged
11100
925
0
Notice to Employee of Change of 12-Month Period for Determining Entitlement (Federal)
Unchanged
2351
1
0
Notice to Employee of Change of 12-Month Period for Determining Entitlement (Private Sector)
Unchanged
7099082
3536
0
Notice to Employee of Change of 12-Month Period for Determining Entitlement (State, local, tribal)
Unchanged
2487721
1239
0
Notice to Employee of FMLA Designation (Federal)
Modified
4094
1104
0
Notice to Employee of FMLA Designation (Private Sector)
Modified
12904096
3480580
0
Notice to Employee of FMLA Designation (State, local, tribal)
Modified
4521964
1219695
0
Notice to Employee of FMLA Eligibility and Rights & Responsibilities (Private Sector)
Modified
16147915
7032620
0
Notice to Employee of FMLA Eligibility and Rights & Responsibilities (State, local, tribal)
Modified
5658690
2464431
0
Notice to Employee of FMLA Eligibilty and Rights & Responsibilities (Federal)
Modified
5123
2231
0
Notice to Employee of Pending Cancellation of Health Benefits (Federal)
Unchanged
34
3
0
Notice to Employee of Pending Cancellation of Health Benefits (Private Sector)
Unchanged
105585
8799
0
Notice to Employee of Pending Cancellation of Health Benefits (State, local, tribal)
Unchanged
37000
3083
0
Periodic Employee Status Report
Modified
371897
12396
0
Total burden requested under this ICR:
89305469
19027093
163467915
To view an IC, click on IC Title