Wage and Hour Division Fair Labor Standards Act Customer Satisfaction Survey and Office of Disability Employment Policy HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey

DOL Generic Solution for Customer Satisfaction Surveys and Conference Evaluations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:

Documents and Forms

Document Name Document Type
Wage and Hour Division Fair Labor Standards Act Customer Satisfaction Survey and Office of Disability Employment Policy HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey Form and Instruction
FLSA Customer Satisfaction Survey FLSA Customer Satisfaction Survey 1225-0059 1-3-13.doc Form and Instruction
HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Too HIV-AIDS-Generic Tracking Tool Input Form_Revised 1-8-13.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Wage and Hour Division Fair Labor Standards Act Customer Satisfaction Survey and Office of Disability Employment Policy HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	FLSA Customer Satisfaction Survey	FLSA Customer Satisfaction Survey 1225-0059 1-3-13.doc		No		Paper Only
Form and Instruction	NA	HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey Form	HIV-AIDS-Generic Tracking Tool Input Form_Revised 1-8-13.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,900	Number of Respondents for Small Entity: 75

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 31 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,900	2,900
Annual IC Time Burden (Hours)	438	438
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.