Applications to Employ Special Industrial Homeworkers and Workers with Disabilities

Forms and Documents

Document Name	Status
Form WH-226A Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages Form and Instruction	Unchanged
Form WH-226 Employment of Workers with Disabilities Under Special Certificates Form and Instruction	Unchanged
Form WH-2 Employment of Homeworkers in Certain Industries Form and Instruction	Unchanged
1235-0001ss(20110124).doc Supporting Statement A	2011-01-24

IC Document Collections

IC ID	Document Title	Status
180252	Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages Form and Instruction	Unchanged
180251	Employment of Workers with Disabilities Under Special Certificates Form and Instruction	Unchanged
13621	Employment of Homeworkers in Certain Industries Form and Instruction	Unchanged

ICR Details

OMB Control No: 1235-0020	ICR Reference No: 201101-1235-001
Status: Historical Active	Previous ICR Reference No: 201003-1235-020
Agency/Subagency: DOL/WHD	Agency Tracking No:
Title: Applications to Employ Special Industrial Homeworkers and Workers with Disabilities
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: 03/14/2011
	Date Received in OIRA: 01/28/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	3 Months From Approved	03/31/2011
Responses	12,050	0	12,050
Time Burden (Hours)	9,025	0	9,025
Cost Burden (Dollars)	1,342	0	1,342

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Abstract: See ICR Reference Number 201004-1235-003. DOL has proposed to merge this information collection Control Number in with OMB Control Number 1235-0001, and this ICR submission merely seeks to maintain the 1235-0020 information collection active during OMB consideration of the request. This specific information collection is necessary to determine whether respondents will be authorized to pay subminimum wages to workers with disabilities and employ homeworkers in the restricted industries under the provisions of sections 11(d) and 14(c) of the Fair Labor Standards Act.

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Authorizing Statute(s): US Code: 29 USC 211(d) Name of Law: Fair Labor Standards Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 30861	06/02/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 5209	01/28/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Employment of Homeworkers in Certain Industries	WH-2	Application for Special Industrial Homeworker's Certificate
Employment of Workers with Disabilities Under Special Certificates	WH-226	Application for Authority to Employ Workers with Disabilities at Special Minimum Wages
Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages	WH-226A	Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages

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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	12,050	12,050	0	0	0	0
Annual Time Burden (Hours)	9,025	9,025	0	0	0	0
Annual Cost Burden (Dollars)	1,342	1,342	0	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:

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Annual Cost to Federal Government: $13,689

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]? 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? Uncollected

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Common Form ICR:  No

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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: 01/28/2011

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