View Information Collection (IC)

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.