Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)

Fair Labor Standards Act Special Employment Provisions

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0001 can be found here:

Documents and Forms

Document Name Document Type
WH-209SI.pdf Instruction
WH-209SI.pdf Instruction
Instructions for Form WH205.docx www.dol.gov/agencies/whd/forms/wh205 Instruction
Instructions for Form WH205.docx www.dol.gov/agencies/whd/forms/wh205 Instruction
WH-205 Application for Authorization to Employ A Student-Learne wh-205.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-205.pdf Form and Instruction
WH-205 Application for Authorization to Employ A Student-Learne wh-205.pdf www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-205.pdf Form and Instruction
WH-209 Application for a Certificate to Employ Messengers/Learn wh209_ form.pdf Form and Instruction
WH-209 Application for a Certificate to Employ Messengers/Learn wh209_ form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 520 Subpart E 29 CFR 520 Subpart D

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			WH-209SI.pdf		No		Paper Only
Instruction			Instructions for Form WH205.docx	https://www.dol.gov/agencies/whd/forms/wh205	Yes	No	Printable Only
Form and Instruction	WH-205	Application for Authorization to Employ A Student-Learner at Subminimum Wages	wh-205.pdf	https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/wh-205.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-209	Application for a Certificate to Employ Messengers/Learners at Subminimum Wages	wh209_ form.pdf		No		Paper Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 120

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	-166	316
Annual IC Time Burden (Hours)	75	-83	158
Annual IC Cost Burden (Dollars)	87	-77	164

Documents for IC

Title	Document	Date Uploaded
No associated records found

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