Wage-Hour Written Compliance Assistance Tool Evaluation Form

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⚠️ Notice: This information collection may be referencing outdated material.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-Hour Written Compliance Assistance Tool Evaluation Form Form and Instruction
Event Evaluation Form EventEvaluationForm_1225-0059.doc Form and Instruction
Written Compliance Assistance MaterialsEvaluationForm_1225-0059.doc Form and Instruction
EventEvaluationForm_1225-0059.doc Wage-Hour Written Compliance Assistance Tool Evaluation Forms Justification IC Document
Approval1225-0059.pdf Wage-Hour Written Compliance Assistance Tool Evaluation Forms Office of Chief Evaluation Officer Concurrence IC Document

Information Collection (IC) Details

IC Title:	Wage-Hour Written Compliance Assistance Tool Evaluation Form	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	Event Evaluation Form	EventEvaluationForm_1225-0059.doc		No		Paper Only
Form and Instruction	NA	Written Compliance Assistance	MaterialsEvaluationForm_1225-0059.doc		No		Paper Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 9,800

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Wage-Hour Written Compliance Assistance Tool Evaluation Forms Justification	EventEvaluationForm_1225-0059.doc	06/05/2013
Wage-Hour Written Compliance Assistance Tool Evaluation Forms Office of Chief Evaluation Officer Concurrence	Approval1225-0059.pdf	06/05/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.