OWCP Services Stakeholder Survey

Customer Satisfaction Surveys and Conference Evaluations Generic Clearance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:

Documents and Forms

Document Name Document Type
OWCP Customer Satisfaction Survey(20110301).pdf Other-Costomer Satisfaction Survey
1225-0059_OWCP(20110301).doc Supplemental Supporting Statement, Customer Satisfaction Survey and Conference Evaluation Clearance Form IC Document

Information Collection (IC) Details

IC Title:	OWCP Services Stakeholder Survey	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-Costomer Satisfaction Survey			OWCP Customer Satisfaction Survey(20110301).pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supplemental Supporting Statement, Customer Satisfaction Survey and Conference Evaluation Clearance Form	1225-0059_OWCP(20110301).doc	03/01/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.