View Information Collection (IC)

View Information Collection (IC)

Notice to Employee of FMLA Designation (Federal)
No Modified
29 CFR 825.312 29 CFR 825.301 29 CFR 825.300(d) 29 CFR 825.305(c) 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.pdf Yes No Fillable Printable

Workforce Management Labor Rights Management


92 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 3,671 0 0 -131 0 3,802
Annual IC Time Burden (Hours) 612 0 0 -22 0 634
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.