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View ESA-WHD's Form 1215-0005 Online 
| Agency: |
ESA-WHD |
| Title: |
Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages |
| Form Description: |
This is a supplemental application for the authority to employ workers with disabilities at special minimum wage rates under the Fair Labor Standards Act (FLSA), Walsh-
Healey Public Contracts Act (PCA), or McNamara-O’Hara Service Contract Act (SCA). |
| OMB Control Number: |
1215-0005 |
| OMB Expiration Date: |
Monday, January 31, 2011
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