View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	WHD Contact Us - web form	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	WHD Contact Us -- Web form	Wage and Hour Division Contact us page v1.2 (2024-06-10)_MN clean.docx	https://webapps.dol.gov/contactwhd/Default.aspx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 106,793	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	106,793	0	106,793	0	0	0
Annual IC Time Burden (Hours)	17,799	0	17,799	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	1225-0059 Generic Clearance Submission WHD Contact Us Form v1.1 (2024-06-11).docx	06/11/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.