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OMB Control No: 1235-0003	ICR Reference No: 202605-1235-003
Status: Received in OIRA	Previous ICR Reference No: 202306-1235-001
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: The Family and Medical Leave Act of 1993, As Amended
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 06/26/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	76,927,146	73,720,629
Time Burden (Hours)	9,062,983	8,685,596
Cost Burden (Dollars)	251,749,336	195,834,007

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	76,927,146	73,720,629	3,206,517
Annual Time Burden (Hours)	9,062,983	8,685,596	377,387
Annual Cost Burden (Dollars)	251,749,336	195,834,007	55,915,329

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: Respondents: The number of respondents increased from 6,889,489 to 7,223,061. This increase in respondents was due to updated data and change in estimating methodology. Responses: The number of responses increased from 73,720,629 to 76,927,146. This increase in respondents was due to updated data and change in estimating methodology. Burden Hours: The number of burden hours increased from 8,685,596 to 9,062,983. This increase in respondents was due to updated data and change in estimating methodology. Cost of Burden Hours: The cost of respondent burden hours increased from $421,484,395 to $527,375,039. This increase was due to updated data, change in estimating methodology, and increased cost of services. Costs to Respondents or Recordkeepers: Supporting Statement-Part A, Item 13. The number of cost to respondents and recordkeepers increased from $195,834,007 to $251,749,336. This increase was due to updated data, change in estimating methodology, and increased cost of services.

Annual Cost to Federal Government: $79,257

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: Daniel Navarrete 202 693-1134 navarrete.daniel@dol.gov

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