Event Evaluation Form U.S. Department of Labor
Employment Standards Administration
Wage and Hour Division
_________________________________________________________________________________________________________
OMB No. 1225-0059 Expires: 09/30/2009
You are not required to respond to this information collection; however, your assistance will help the Department of Labor to improve the quality and delivery of compliance assistance tools and services. Responses to this data collection will be used only for statistical purposes. The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific firm or individual. We will not provide information that identifies you or your district to anyone outside the study team, except as required by law. Persons are not required to respond to a collection of information unless it displays a currently valid OMB control number.
_________________________________________________________________________________________________________
Event Name: _________________________________________________________________________________
Completed By Agency Staff
INFORMATION TO BE PROVIDED BY RESPONDENT:
I. Please respond to the following questions related to persons who attended the Wage and Hour Division event.
1. Did the correct person (from your organization) attend the event?
Yes, the appropriate person attended
No, the appropriate person did not attend
2. Is there any other person in your organization that should have attended the event?
Yes, others attended it also
Yes, others should have attended, but did not
No, all appropriate people attended the event
3. How did you find out about this event? (Check all that apply)
DOL Website
Association
Employer
Newspaper/Press Release
Email Message/Alert
Received notification in the mail
Union
Other (please specify) ___________________________________________
II. Please help the Wage and Hour assess the quality of this event by responding to the following questions.
4. The compliance assistance event was presented in clear language.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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5. Considering all of the information presented, how relevant or irrelevant was the content provided during the event in helping you understand the law?
Very relevant
Generally relevant
Somewhat irrelevant
Very irrelevant
6. The event provided sufficient information to allow you to contact Wage and Hour in the future.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
III. In the next few questions, we ask about several types of actions you have taken, or may recommend and/ or implement as a result of this event. Please help Wage and Hour to understand how you or your organization will use the information provided at the compliance assistance event by responding to the following questions.
Please indicate any actions you have already taken as a result of this event?: (Check all that apply)
Reviewed one or more employment practices/policies
Updated one or more employment practices/policies
Conducted a company-wide self-audit for compliance
Shared the information with colleagues
Shared the information with employees
Other (please specify) ___________________________________________
None
Not Applicable
8. What policy changes do you intend to recommend or implement in your organization as a result of the event? (Check all that apply)
Institute/modify a new payroll process
Institute/modify a new employee time recording process
Modify overtime policies
Modify wage rates
Reclassify employees, including those currently classified as “exempt”
Modify policies regarding employees under the age of 18
Modify policies regarding employee compensation for all hours worked
Other (please specify) _______________________________________________
No personnel actions are intended
I do not have the authority to recommend or implement changes
9. What management changes do you intend to recommend or implement in your organization as a result of the event? (Check all that apply)
Conduct a company-wide self-audit
Institute a new management policy, system or procedure
Institute training or other communication to improve awareness and/or practices
Other (please specify) _______________________________________________
No management changes are intended
I do not have the authority to recommend or implement changes
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10. Please indicate any other future actions you will take as a result of this event: (Check all that apply)
Review one or more employment practices/policies
Update one or more employment practices/policies
Share the information with colleagues
Share the information with employees
Save it for future reference
Other (please specify) ___________________________________________
None
IV. Please help Wage and Hour to understand how the event addressed your questions and concerns.
11. In comparison to your previous knowledge of Wage and Hour employment laws, how well do you understand the law after attending this event?
Considerably more
A little more
About the same
A little less
Considerably less
12. Did this event address all of your Wage and Hour-related employment questions?
Yes, it addressed all of my questions
No, it only addressed some of my questions
No, it did not address any of my questions
Not applicable - I did not have any employment-related questions
13. After attending this event, do you anticipate contacting Wage And Hour for additional information in the future?
No.
Yes, within 1 month.
Yes, within 2-6 months
Yes, within 7-12 months
Yes, after 1 year
14. Where will you go if you have additional questions about Wage and Hour laws?
Search Engine
Wage and Hour Website
Toll-Free DOL Hotline
Local Wage and Hour Office
Other (please specify) ___________________________________________
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V. Please provide any additional information that might help Wage And Hour improve future events.
15. Please provide any additional comments (i.e. suggestions you have to improve the usefulness of this type of event).
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Burden Statement—The public reporting burden for this collection of information is estimated to average five (5) minutes per response, including the time for reviewing instructions, gathering information, and completing and reviewing the collection of information. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and suggestions for reducing the burden to the U. S. Department of Labor, Wage and Hour Division, Room S-3502, 200 Constitution Avenue, N.W., Washington, DC 20210. Do not send the completed survey to this address.
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File Type | application/msword |
File Title | Compliance Assistance Survey Form |
Author | U.S. Department of Labor |
Last Modified By | U.S. Department of Labor |
File Modified | 2007-10-23 |
File Created | 2007-10-22 |