I certify that I have read this form and to the best of my knowledge and belief, all answers and information given in the application and attachments are true; that the representations set forth in support of this application to obtain or continue the authorization to pay workers with disabilities at subminimum wage rates are true; and I acknowledge that the authorization, if issued or continued, is subject to revocation in accordance with the provisions of 29 C.F.R. part 525. I represent that as set forth in the regulations governing the employment of workers with disabilities, the following conditions exist and will continue to exist: -
-Further, I certify that:
-I certify that I have read this form and to the best of my knowledge and belief, all answers and information given in the + application and attachments are true; that the representations set forth in support of this application to obtain or continue + the authorization to pay workers with disabilities at subminimum wage rates are true; and I acknowledge that the authorization, + if issued or continued, is subject to revocation in accordance with the provisions of 29 C.F.R. part 525. I represent + that as set forth in the regulations governing the employment of workers with disabilities, the following conditions exist + and will continue to exist: +
+Further, I certify that:
+We've checked your responses from each section to make sure there were no errors or missing information before submission.
Below is a summary of the results:
+ + +According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The Department of Labor estimates that the public reporting burden for this collection of information will average 50 minutes per response for the initial applicant and 75 minutes per response for the renewal applicant, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is mandatory in order to obtain the authority to pay less than the applicable minimum wage. 29 C.F.R. §§ 525.7-9, 12-13. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Administrator, Wage and Hour Division, U.S. Department of Labor, Room S-3502, 200 Constitution Avenue, N.W., Washington, DC 20210 and reference the OMB Control Number.
+According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information + unless such collection displays a valid OMB control number. The Department of Labor estimates that the public + reporting burden for this collection of information will average 50 minutes per response for the initial applicant + and 75 minutes per response for the renewal applicant, including time for reviewing instructions, searching existing + data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. + The obligation to respond to this collection is mandatory in order to obtain the authority to pay less than the + applicable minimum wage. 29 C.F.R. §§ 525.7-9, 12-13. Send comments regarding the burden estimate or any other + aspect of this collection of information, including suggestions for reducing this burden, to the Administrator, + Wage and Hour Division, U.S. Department of Labor, Room S-3502, 200 Constitution Avenue, N.W., Washington, DC + 20210 and reference the OMB Control Number.