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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Wage and Hour Division Event Evaluation Form 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
Other-Questionnaire
Event_1.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_2.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_3.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_4.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_5.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_6.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_7.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_8.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_9.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_10.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_11.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_12.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_13.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_14.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_15.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_16.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_17.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_18.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_19.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_20.JPG
Yes
Yes
Fillable Fileable
Other-Questionnaire
Event_21.JPG
Yes
Yes
Fillable Fileable
Other-Event Evaluation Form
EventEvaluationForm 20180307.pdf
Yes
Yes
Fillable Fileable
Other-Event Evaluation Form
EventEvaluationForm_OMBReview 20180307.pdf
Yes
Yes
Fillable Fileable
Other-
Material_1.JPG
Yes
Yes
Fillable Fileable
Other-
Material_2.JPG
Yes
Yes
Fillable Fileable
Other-
Material_3.JPG
Yes
Yes
Fillable Fileable
Other-
Material_4.JPG
Yes
Yes
Fillable Fileable
Other-
Material_5.JPG
Yes
Yes
Fillable Fileable
Other-
Material_6.JPG
Yes
Yes
Fillable Fileable
Other-
Material_7.JPG
Yes
Yes
Fillable Fileable
Other-
Material_8.JPG
Yes
Yes
Fillable Fileable
Other-
Material_9.JPG
Yes
Yes
Fillable Fileable
Other-
Material_10.JPG
Yes
Yes
Fillable Fileable
Other-
Material_11.JPG
Yes
Yes
Fillable Fileable
Other-
Material_12.JPG
Yes
Yes
Fillable Fileable
Other-
Material_13.JPG
Yes
Yes
Fillable Fileable
Other-
Material_14.JPG
Yes
Yes
Fillable Fileable
Other-
Material_15.JPG
Yes
Yes
Fillable Fileable
Other-
Material_16.JPG
Yes
Yes
Fillable Fileable
Other-
Material_17.JPG
Yes
Yes
Fillable Fileable
Other-
Material_18.JPG
Yes
Yes
Fillable Fileable
Other-
Material_19.JPG
Yes
Yes
Fillable Fileable
Other-
Material_20.JPG
Yes
Yes
Fillable Fileable
Other-
Material_21.JPG
Yes
Yes
Fillable Fileable
Other-Event Evaluation Form
MaterialEvaluationForm 20180307.pdf
Yes
Yes
Fillable Fileable
Other-
MaterialEvaluationForm_OMBReview 20180307.pdf
Yes
Yes
Fillable Fileable
Other-
Survey emails.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
50 %
Approved
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
10,000
0
10,000
0
0
0
Annual IC Time Burden (Hours)
833
0
833
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Event Evaluation Form Supplementary Document
Generic_Clearance_Submission_Event_and_Material_Eval_20180327.docx
03/27/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.