OMB control number

Fair Labor Standards Act Special Employment Provisions

OMB 1235-0001 · DOL/WHD.

OMB 1235-0001

This information collection pertains to the Fair Labor Standards Act (FLSA), 29 U.S.C. 201, et seq., special employment provisions. These provisions relate to restrictions on industrial homework and to the use of special certificates that allow for the employment of categories of workers who may be paid less than the general Federal statutory minimum wage to the extent necessary to prevent curtailment of their employment opportunities. For this revision request specifically, the Department proposes to revise forms WH-226 (Application for Authority to Employ Workers with Disabilities at Special Minimum Wages), WH-226A (Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages), and the Department’s webpage with instructions for section 14(c) certificate applications. The proposed changes are nonsubstantive and clarify instructions for completing the WH-226 and/or WH-226A forms via paper or electronic format.

The latest form for Fair Labor Standards Act Special Employment Provisions expires 2027-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form WH-75 Homeworker Handbook Form and Instruction
Form WH-226 Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages Form and Instruction
Supporting Statement NPRM 1235-0001 v2.1 (2024-12-04).docx Supporting Statement A
Employment Situation Table B-8. August 2024.pdf Supplementary Document
Supplementary Document List of Changes 1235-0001 v2.0 (2024-10-21).docx Supplementary Document
Piece Rate Measurements
Homeworker Handbook Form and Instruction
Employment Under Special Certificates of Workers with Disabilities at Special Minimum Wages Form and Instruction
Application to Employ Homeworkers Instruction
Employment Under Special Certificates Students Learners Instruction
Application for Special Industrial Homeworker's Certificate Instruction
Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners) Instruction

All Historical Document Collections

202410-1235-004	Revision of a currently approved collection	2024-12-04
202410-1235-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-10-09
202405-1235-001 Approved without change	Revision of a currently approved collection	2024-06-12
202103-1235-002 Approved without change	Extension without change of a currently approved collection	2021-07-13
202006-1235-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-07-08
202002-1235-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-05-06
201711-1235-002 Approved without change	Revision of a currently approved collection	2018-06-25
201510-1235-001 Approved with change	Revision of a currently approved collection	2016-09-09
201309-1235-002 Approved without change	Extension without change of a currently approved collection	2014-03-25
201004-1235-003 Approved without change	Revision of a currently approved collection	2011-01-28
201003-1235-001 Approved without change	Extension without change of a currently approved collection	2010-03-12

OMB Details

Employment Under Special Certificates of Apprentices, Messengers and Learners (including Student Learners)

Federal Enterprise Architecture: Workforce Management - Labor Rights Management

Form WH-205	Application for Authorization to Employ a Student-Learner at Subminimum Wages	www.dol.gov/sites/dolgov/files/WHD/legacy/files/WH-205.pdf	Form and instruction
Form		www.dol.gov/agencies/whd/forms/wh205	Instruction
Form WH-209	Application for a Certificate to Employ Messengers/Learners at Subminimum Wages	Paper Only	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.