Documenting Family Relationship

The Family and Medical Leave Act of 1993, As Amended

OMB: 1235-0003

IC ID: 182233

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Documenting Family Relationship
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
29 CFR 825.122(j) 29 CFR 825.310(d), (e)(3)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Workforce Management Labor Rights Management

 

3,444,745 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 172,237 0 0 0 0 172,237
Annual IC Time Burden (Hours) 14,353 0 0 0 0 14,353
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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