Office of Foreign Labor Certification OMBudsman Program Stakeholder Feedback Form

OMB Control Number 1225-0088
Expires 06/30/2014

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. Public reporting burden for this collection of information is estimated to average 5 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Completion of this survey is completely voluntary, and information collected will be kept private to the extent permitted by law and used for program evaluation purposes only.

Feedback Form

Rate the following regarding your experience with the OFLC Ombudsman Program:

(1= Not at all 2= Somewhat 3= Yes 4= Very)

Was our response to your inquiry timely? 1 2 3 4

Did we answer all of your questions clearly and 1 2 3 4

thoroughly?

Did we demonstrate a considerable amount of 1 2 3 4

subject matter knowledge in our response?

Were we impartial and fair in our response? 1 2 3 4

Were you satisfied overall with the response we 1 2 3 4

provided?

If we were unable to help you, did we refer you 1 2 3 4

to the right people who could?

Has your confidence in the Office of Foreign Labor 1 2 3 4

Certification been strengthened by your experience?

Would you recommend the Ombudsman Program 1 2 3 4

to other H-2A and/or H-2B stakeholders?

Do you submit inquiries the Ombudsman Program 1 2 3 4

routinely?

(Optional)

Commenter Contact Info:

• Name (First, Last, M.)

• Address (City, State, zip)

• Email address

• Phone number

Organization Contact Info:

• Type (select from drop down):

  • Employer, Agent/Attorney, Government, Advocacy Group

• Name

• Address (City, State, zip)

• Phone number

• Website (if any)

OFLC Case # (if any)

Visa Program (select one drop down):

• H-2A, H-2B, Both

Issue

(Comment Field)

Date

(Automated)