Employment Information form

Employment Information Form

Documents and Forms

Document Name Document Type
Form WH-3 English Employment Information form Form and Instruction
How to file a complaint- English.pdf Instruction
How to file a complaint- English.pdf Instruction
WH-3 English Employment Information Form wh3 Eng..pdf Form and Instruction
WH-3 English Employment Information Form wh3 Eng..pdf Form and Instruction
WH-3 Spanish Employment Information Form wh3Sp (1).pdf Form and Instruction
WH-3 Spanish Employment Information Form wh3Sp (1).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Employment Information form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 9.21 20 CFR 655.1200(b) 41 CFR 105.50-201.1202 29 CFR 826.152 29 CFR 501.5 29 CFR 4.191 29 CFR 825.401 29 CFR 5.6 29 CFR 501.1(c) 29 CFR 500.1(e) 29 CFR 801.7(a) 29 CFR 10.41-.43 29 CFR 13.41-.43 29 CFR 23.410 29 CFR 810.800

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	WH-3 English	Employment Information Form	wh3 Eng..pdf	No		Paper Only
Form and Instruction	WH-3 Spanish	Employment Information Form	wh3Sp (1).pdf	No		Paper Only
Instruction			How to file a complaint- English.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: 28,824	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	28,824	28,824
Annual IC Time Burden (Hours)	9,608	9,608
Annual IC Cost Burden (Dollars)	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.