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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1215-0181
ICR Reference No:
200702-1215-001
Status:
Historical Active
Previous ICR Reference No:
200406-1215-001
Agency/Subagency:
DOL/ESA
Agency Tracking No:
Title:
29 CFR Part 825, The Family and Medical Leave Act of 1993
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/20/2007
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/14/2007
Terms of Clearance:
This collection is approved in accordance with the following terms of clearance. We understand that the Department of Labor is considering public comments submitted in response to the December 2006 request for information on FMLA and that the Department will resubmit this collection for approval if any changes are made as a result of the input received from the public.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2010
36 Months From Approved
09/30/2007
Responses
15,058,850
0
15,057,750
Time Burden (Hours)
1,370,288
0
1,370,103
Cost Burden (Dollars)
11,915,480
0
0
Abstract:
The Family and Medical Leave Act of 1993 (FMLA) requires private sector employers of 50 or more employees, and public agencies to provide up to 12 weeks of unpaid, job-protected leave to "eligible" employees for certain family and medical reasons. Records are required so that the Department of Labor can determine employer compliance with FMLA.
Authorizing Statute(s):
US Code:
29 USC 2601, et seq
Name of Law: Family and Medical Leave Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
72 FR 13530
03/22/2007
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 32866
06/14/2007
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
Employee Notice of Need for FMLA Leave
Fitness-For-Duty Medical Certifications
Key Employee Notifications
Medical Certifications and Recertifications
WH-380
Certication of Health Care Provider (FMLA)
Notice to Employees of Change of 12-Month Period for Determining FMLA Entitlement
Recordkeeping
Written Guidance to Employees of FMLA Rights (Handbooks/Manuals)
Written Notice to Employees of their FMLA Obligations and Employer Expectations
WH-381
Employer Response to Employee Request for Family or Medical Leave
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
15,058,850
15,057,750
0
0
1,100
0
Annual Time Burden (Hours)
1,370,288
1,370,103
0
0
185
0
Annual Cost Burden (Dollars)
11,915,480
0
0
0
11,915,480
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Burden estimates in this paperwork submission have increased due to the use of current census data to determine the number of covered employees and current BLS data to determine the cost of the burden hours. Moreover, the number of respondents increased to 6,657,500 (6.658 million rounded) from 6,656,500 (6.657 million rounded)or by 1,000 respondents, and the total annual responses increased to 15,058,850 (15.059 million rounded) from 15,057,750 (15.058 million rounded)or by 1,100 total responses. Burden hours increased slightly from 1,370,103 to 1,370,288 hours, or an adjustment of 185 hours. Prior paperwork packages for this information collection did not separately state costs associated with obtaining medical certifications. DOL efforts to quantify that figure result in an increase of = $11,915,480 in operational costs.
Annual Cost to Federal Government:
$2,654,755
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Michel Smyth 202 693-0638 smyth.michel@dol.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
06/14/2007
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