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Notice to Employee of FMLA Designation (Federal)
No New
29 CFR 825.300(d) 29 CFR 825.305(c) 29 CFR 825.301 29 CFR 825.312 29 CFR 825.127(c)(4)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction WH-382 Designation Notice (Family and Medical Leave Act) WH-382(2008).doc Yes Yes Fillable Fileable Signable

Workforce Management Labor Rights Management


67 0
Federal Government
   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 4,083 825 0 3,258 0 0
Annual IC Time Burden (Hours) 1,102 223 198 681 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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