FECA Claimat Survey Package

Customer Satisfaction Surveys and Conference Evaluations Generic Clearance

OMB: 1225-0059

IC ID: 193965

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

FECA Claimat Survey Package
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Injured Worker Survey_v1 3.pdf Yes Yes Fillable Fileable
Other-Survey VPAT_SurveyMonkey.pdf Yes Yes Fillable Fileable
Other-Survey Letter Claimant Survey Letter.doc Yes No Paper Only

Income Security General Retirement and Disability

 

1,620 0
   
Individuals or Households
 
   0 %

  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 1,620 0 1,620 0 0 0
Annual IC Time Burden (Hours) 405 0 405 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Supporting Statement (1225-0059).doc 08/03/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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