ICR Documents

Document Date Uploaded
ss1235-0003 20150215.docx 02/17/2015

Document Date Uploaded

Title Document Document Type Date Uploaded
FMLA Employee Guide employeeguide(3.26.13).pdf Supplementary Document 03/26/2013
60 day Federal Register Notice Renewal FMLA 60day FR notice 9-11-14.pdf Supplementary Document 11/14/2014
Certification for Serious Injury or Illness of a Current Servicemember-- for Military Family Leave (Family and Medical Leave Act) WH-385 (12-19-14), trk chg.pdf Supplementary Document 12/19/2014
Certification of Health Care Provider for Employee's Serious Health Condition (Family and Medical Leave Act) WH-380-E with GINA edits 4-7-15.docx Supplementary Document 04/09/2015
Certification of Health Care Provider for Family Member's Serious Health Condition (Family and Medical Leave Act) WH-380-F (12-19-14), trk change.pdf Supplementary Document 12/19/2014
Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (Family and Medical Leave Act) WH-385-V (12-20-14),trk chg.pdf Supplementary Document 12/19/2014

Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received
Leibig, Karen
Comment to DOL-WHD re FMLA Forms (11-10-14).pdf
Senior Attorney EEOC Letter Simple 11/10/2014 11/10/2014
Sikorski, Krzysztof
1235-0003, Medical Cert Burden Comment.pdf
Letter Simple 07/06/2014 08/04/2014