Information Collection

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

IC 205409 under ICR 201208-1225-001 · OMB 1225-0059.

⚠️ Notice: This information collection may be referencing outdated material.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

2026-06-29 - No material or nonsubstantive change to a currently approved collection
2024-09-10 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
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

View Information Collection (IC)

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:

table that charts list of 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

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	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

table that charts IC Documents
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.