Form Not Available Not Available Event Evaluation Form

U.S. Department of Labor

Event Evaluation Form

Wage and Hour Division

OMB NO: 1225-0088
Expires: 1/31/2024

Event Name:

Date:
(Completed by agency staff)

(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 (WHD) event.
1. Did the correct person (from your organization) attend the event?
Yes
No
2. Is there any other person in your organization that should have attended the event?
Yes, others attended it also
No, 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 WHD 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
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
Irrelevant

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6. The event provided sufficient information to allow you to contact WHD in the future.
Strongly agree
Agree
Neither agree nor disagree
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 WHD to understand how you or your organization will use the information provided at the compliance assistance event by
responding to the following questions.
7. 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 an organization-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 an organization-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 WHD to understand how the event addressed your questions and concerns.
11. In comparison to your previous knowledge of WHD 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 WHD-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 WHD 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 WHD laws? (Check all that apply)
Search engine
WHD Website
Toll-Free DOL Hotline
Local WHD Office
Other (please specify)

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V. Please provide any additional information that might help WHD improve future events.
15. Please provide any additional comments (i.e. suggestions you have to improve the usefulness of this type of event).

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.
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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