Employment of Homeworkers in Certain Industries

Applications to Employ Special Industrial Homeworkers and Workers with Disabilities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0005 can be found here:

Documents and Forms

Document Name Document Type
Form WH-2 Employment of Homeworkers in Certain Industries Form and Instruction
WH-2 Application for Special Industrial Homeworker's Certific WH-2.pdf www.dol.gov/esa/forms/whd/WH-2.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Employment of Homeworkers in Certain Industries	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 530

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-2	Application for Special Industrial Homeworker's Certificate	WH-2.pdf	http://www.dol.gov/esa/forms/whd/WH-2.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: 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	50	-16,500	16,550
Annual IC Time Burden (Hours)	25	-12,375	12,400
Annual IC Cost Burden (Dollars)	22	-1,978	2,000

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.