Notice to Examinee Applicable to Certain Ongoing Investigations, Security Services, and Security of Controlled Substances

Application of the Employee Polygraph Protection Act

Documents and Forms

Document Name Document Type
Form WH-1481 Notice to Examinee Applicable to Certain Ongoing Investigations, Security Services, and Security of Controlled Substances Form
WH-1481 Notice to Examinee WH1481.pdf www.dol.gov/esa/forms/whd/WH1481.pdf Form

Information Collection (IC) Details

IC Title:	Notice to Examinee Applicable to Certain Ongoing Investigations, Security Services, and Security of Controlled Substances	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 801.12(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	WH-1481	Notice to Examinee	WH1481.pdf	http://www.dol.gov/esa/forms/whd/WH1481.pdf	Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 82,000	Number of Respondents for Small Entity: 77,080

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	164,000	-164,000	328,000
Annual IC Time Burden (Hours)	2,733	-66,006	68,739
Annual IC Cost Burden (Dollars)	0	0	0

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.