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View Information Collection (IC)

Notice to Employee of FMLA Eligibility and Rights & Responsibilities (State, local, tribal)
No New
29 CFR 825.300(b), (c)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-381 Notice of Eligibility and Rights & Responsibilities WH-381(2008).doc Yes Yes Fillable Fileable Signable

Workforce Management Labor Rights Management


74,000 70,488
State, Local, and Tribal Governments
   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 5,646,542 1,140,497 212,735 4,293,310 0 0
Annual IC Time Burden (Hours) 2,462,406 497,360 1,589,542 375,504 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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