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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
OMB: 1225-0059
IC ID: 205409
OMB.report
DOL/DM
OMB 1225-0059
ICR 201304-1225-001
IC 205409
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:
2024-09-10 - No material or nonsubstantive change to a currently approved collection
2024-05-08 - No material or nonsubstantive change to a currently approved collection
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
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:
Unchanged
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
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,900
0
0
0
0
2,900
Annual IC Time Burden (Hours)
438
0
0
0
0
438
Annual IC Cost Burden (Dollars)
0
0
0
0
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.