Record of Employee Interview Instructions - HUD-11 Form

Submit the completed form to the HUD Labor Standards office via email at laborstandards@hud.gov, fax to (202) 708-0310, or mail to National Director, Office of Davis-Bacon and Labor Standards, 451 7th Street SW, Room 7108, Washington, DC 20410. For online submission, visit the HUD Labor Standards webpage and use the online submission form provided. Ensure all sections are accurately filled out before submission to avoid delays in processing.

OMB Approval No. 2501-0009 (exp. 12/31/2024)

The purpose of the HUD-11 form is to ensure compliance with federal labor standards on construction projects funded by the U.S. Department of Housing and Urban Development (HUD). This form is used by HUD staff, local agency labor monitors, and construction inspectors to record information gathered during on-site interviews with laborers and mechanics. The information collected helps verify the accuracy of payroll reports and supports enforcement actions in the event of labor standards violations. The interview and the data recorded on the form are considered confidential and are used to ensure that workers are paid fair wages in accordance with federal regulations. By accurately completing this form, HUD and local agencies can monitor compliance and take necessary actions to address any discrepancies or violations.

• 1. Project Name: Enter the name of the construction project.
• 2. Project Number: Enter the unique project number assigned to the construction project.
• 3. Contractor or Subcontractor (Employer): Enter the name of the contractor or subcontractor employing the worker.
• 4. Employee Name: Enter the full name of the employee being interviewed.
• 5. Employee Phone Number: Enter the employee's contact phone number, including area code.
• 6. Employee Home Address & Zip Code: Enter the employee's home address and zip code.
• 7. Verification of identification: Indicate whether the employee's identification has been verified.
• 8. How long on this job?: Enter the duration the employee has been working on this job.
• 9. Last date on this job before today?: Enter the last date the employee worked on this job before today.
• 10. No. of hours last day on this job?: Enter the number of hours the employee worked on the last day on this job.
• 11. Hourly rate of pay: Enter the employee's hourly rate of pay.
• 12. Fringe Benefits: Indicate whether the employee receives fringe benefits such as vacation, medical, and pension.
• 13. Pay stub?: Indicate whether the employee has a pay stub.
• 14. Job classification(s): List all job classifications for the employee.
• 15. Duties: Describe the duties performed by the employee.
• 16. Tools or equipment used: List any tools or equipment used by the employee.
• 17. Apprentice or trainee?: Indicate whether the employee is an apprentice or trainee.
• 18. Paid for all hours worked?: Indicate whether the employee is paid for all hours worked.
• 19. Paid at least time and 1/2 for all hours worked in excess of 40 in a week?: Indicate whether the employee is paid at least time and a half for all hours worked over 40 in a week.
• 20. Threatened or coerced into giving up any part of your pay?: Indicate whether the employee has been threatened or coerced into giving up any part of their pay.
• 21. Employee Signature: Obtain the employee's signature.
• 22. Date: Enter the date of the interview.
• 23. Duties observed by the Interviewer: Describe the duties observed by the interviewer.
• 24. Remarks: Record any additional remarks or comments.
• 25. Interviewer Name: Enter the name of the interviewer.
• 26. Signature of Interviewer: Obtain the interviewer's signature.
• 27. Date of Interview: Enter the date the interview was conducted.
• 28. Remarks (Payroll Examination): Record any remarks related to the payroll examination.
• 29. Signature of Payroll Examiner: Obtain the payroll examiner's signature.
• 30. Additional Remarks: Record any additional remarks or comments.

Failure to submit this form may delay enforcement of Federal labor standards and hinder wage compliance verification. It can also impact HUD's ability to address any discrepancies or violations.

• Delayed Enforcement: Failure to provide this information can delay enforcement actions for labor standards violations.
• Compliance Issues: Inaccurate information may lead to compliance issues and unresolved discrepancies in wage payments.

• 1. On-Site Interviews: For conducting interviews with workers on federally funded construction projects.
• 2. Wage Verification: To verify that employees are paid in accordance with federal wage standards.