View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1235-0021	ICR Reference No: 202402-1235-001
Status: Historical Active	Previous ICR Reference No: 202211-1235-001
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Employment Information Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/29/2024
	Date Received in OIRA: 04/26/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2027	36 Months From Approved	01/31/2027
Responses	29,160	0	27,010
Time Burden (Hours)	9,720	0	9,003
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): EO: EO 13658 Name/Subject of EO: Establishing a Minimum Wage for Contractors
   EO: EO 13706 Name/Subject of EO: Establishing Paid Sick Leave for Contractors
   US Code: 29 USC 211(a) Name of Law: Fair Labor Standards Act
   US Code: 19 USC 4532 Name of Law: United States-Mexico-Canada Agreement Implementation Act
   US Code: 29 USC 2004(a)(3) Name of Law: Employee Polygraph Protection Act
   EO: EO 14055 Name/Subject of EO: Nondisplacement of Qualified Workers Under Service Contracts
   US Code: 29 USC 2616(a) Name of Law: Family and Medical Leave Act
   US Code: 29 USC 1862(a) Name of Law: Migrant and Seasonal Agricultural Worker Protection Act
   US Code: 15 USC 1676 Name of Law: Consumer Credit Protection Act
   US Code: 40 USC 3141 Name of Law: Davis Bacon Act
   US Code: 41 USC 38 Name of Law: Walsh-Healey Public Contracts Act
   US Code: 41 USC 353(a) Name of Law: McNamara-O'Hara Service Contract Act
   US Code: 8 USC 1188(g) Name of Law: Immigration and Nationality Act
   EO: EO 14026 Name/Subject of EO: Increasing the Minimum Wage for Federal Contractors

Citations for New Statutory Requirements: None

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Employment Information Form	WH-3, WH-3-Sp	,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	29,160	27,010	2,150
Annual Time Burden (Hours)	9,720	9,003	717
Annual Cost Burden (Dollars)	0	0	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: The number of people eligible to file a complaint increased as a result of the final rule.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Robert Waterman 202 693-0805 waterman.robert@dol.gov

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