[Federal Register Volume 69, Number 78 (Thursday, April 22, 2004)]
[Notices]
[Page 21863]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-9120]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

April 13, 2004.
    The Department of Labor (DOL) has submitted the following public 
information collection request (ICR) to the Office of Management and 
Budget (OMB) for review and approval in accordance with the Paperwork 
Reduction Act of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35). A copy of 
each ICR, with applicable supporting documentation, may be obtained by 
contacting the Department of Labor (DOL). To obtain documentation, 
contact Ira Mills on 202-693-4122 (this is not a toll-free number) or 
e-mail: [email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for DOL, Office of Management and 
Budget, Room 10235, Washington, DC 20503 202-395-7316 (this is not a 
toll-free number), within 30 days from the date of this publication in 
the Federal Register.
    The OMB is particularly interested in comments which:
     Evaluate whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information will have practical 
utility;
     Evaluate the accuracy of the agency's estimate 
of the burden of the proposed collection of information, including the 
validity of the methodology and assumptions used;
     Enhance the quality, utility, and clarity of the 
information to be collected; and
     Minimize the burden of the collection of 
information on those who are to respond, including through the use of 
appropriate automated, electronic, mechanical, or other technological 
collection techniques or other forms of information technology, e.g., 
permitting electronic submission of responses.
    Agency: Employment Standards Administration.
    Type of Review: Revision of a currently approved collection.
    Title: Employment Information Form.
    OMB Number: 1215-0001.
    Frequency: On occasion.
    Affected Public: Individuals or households; Business or other for-
profit; Not-for-profit; Farms; Federal Government; State, local or 
tribal government.
    Number of Respondents: 35,000.
    Number of Annual Responses: 35,000.
    Estimated Time per Response: 20 minutes.
    Burden Hours Total: 11,667.
    Total annualized capital/startup costs: $0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $0.
    Description: This form is an optional form used by complainants and 
others to provide information about alleged violations of the labor 
standards provisions of the Fair Labor Standard Act. The form is 
provided both in the English and Spanish languages. The form is used 
not only by current employees of a firm but by anyone alleging 
violations by a firm, including former employees, competitor employer, 
unions, etc. The form is completed by the complainants themselves or by 
a Wage and Hour Investigator using information provided by the 
complainants either in person or over the telephone. The completed form 
is examined by a Wage and Hour Investigator to obtain information about 
employer compliance with the provisions of the various labor standards 
laws enforced by the Division and to determine if the Division has 
jurisdiction to investigate the alleged violation.
    When a violation is suspected and an investigation is scheduled, 
the completed Form WH-3 is made a part of the investigation case file. 
Without the information provided, it would be extremely difficult to 
determine the potentiality of employer violations and scheduled 
effective enforcement activities.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 04-9120 Filed 4-21-04; 8:45 am]
BILLING CODE 4510-27-P