DOL Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Off Base Transition Training Participant Survey	Form	New	Available
US Department of Labor National Contact Center Email Customer Satisfaction Survey	Form	New	Available
Customer Service Follow-up: Workforce Recruitment Program	Form	New	Repair queued
Office of Federal Contract Compliance Programs Mailing List Contact Information	Form	New	Available
Form OFCCP Event Evalua Office of Federal Contracot Compliance Programs Event Evaluation Form	Form and Instruction	New	Available
OFCCP Customer Feedback Survey	Form	New	Available
Draft Generic Clearance Submission Template.docx	Supplementary Document	Uploaded 2011-04-18	Available
1225-0NEWssb(20110412).doc	Supporting Statement B	Uploaded 2011-04-12	Available
1225-0NEWssa(20110412).docx	Supporting Statement A	Uploaded 2011-04-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
211842	Customer Service Follow-up: Workforce Recruitment Program	Other-Survey	New
211535	Office of Workers' Compensation Programs Services Stakeholder Survey	Other-Survey	New
211323	Employment and Training Webinar Technical Assistance Customer Feedback Survey	Other-Web Survey	New
211071	OSHA-Participation in National Fall Prevention Safety Stand Down and VETS-Off Base Transition Training Participant Customer Feedback	Form	New	Off Base Transition Training Participant Survey
211071	OSHA-Participation in National Fall Prevention Safety Stand Down and VETS-Off Base Transition Training Participant Customer Feedback	Instruction	New
210291	Family and Medical Leave Act Customer Experience Survey	Other-Survey	New
209683	Department of Labor Social Media Audience Survey	Other-Internet Survey	New
209269	US Department of Labor National Contact Center Email Customer Satisfaction Survey	Form	New	US Department of Labor National Contact Center Email Customer Satisfaction Survey
207977	Workforce Recruitment Program Customer Service Follow-Up Survey	Form	New	Customer Service Follow-up: Workforce Recruitment Program
207619	Getting it Right-Know Your Feduciary Responsibilities and Health Benefits Education Campaign Surveys	Other-Getting it Right-Know Your Feduciary Responsibilities Surv	New
207437	Navigation Model Test for the Department of Labor's Employee Benefits Security Administration Website Redesign Effort	Other-Web Page	New
206982	Add Us In	Other-Web survey	New
206195	Office of Federal Contract Compliance Programs Mailing List Contact Information	Form	New	Office of Federal Contract Compliance Programs Mailing List Contact Information
206087	Office of Foreign Labor Certification Ombudsman Program Stakeholder Feedback Form	Other-Web Page	New
205418	Whistleblower Alternative Dispute Resolution Program Questionnaire	Other-Web-based Survey	New
205032	Office of Federal Contracot Compliance Programs Event Evaluation Form	Form and Instruction	New	NA
204752	OFCCP Customer Experience Survey	Form	New	OFCCP Customer Feedback Survey
203567	Office of Federal Contract Compliance Programs (OFCCP) Event Evaluation Form	Other-Customer Satisfaction Survey	New
203412	OFCCP Listening Tours	Other-Protocol	New
202044	Health Outreach Campaign-2012	Other-Web Survey	New
200990	Heat Outreach Campaign Evaluation	Other-Web Survey	New
200030	DOL Paperwork Reduction Act Web Page Comments Link	Other-email link	New

ICR Details

OMB Control No: 1225-0088	ICR Reference No: 201104-1225-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: DOL Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/27/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/25/2011
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.”

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved
Responses	300,000	0	0
Time Burden (Hours)	30,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 80542	12/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 22920	04/25/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 21

table that charts list of burden

IC Title	Form No.	Form Name
Add Us In
Customer Service Follow-up: Workforce Recruitment Program
DOL Paperwork Reduction Act Web Page Comments Link
Department of Labor Social Media Audience Survey
Employment and Training Webinar Technical Assistance Customer Feedback Survey
Family and Medical Leave Act Customer Experience Survey
Getting it Right-Know Your Feduciary Responsibilities and Health Benefits Education Campaign Surveys
Health Outreach Campaign-2012
Heat Outreach Campaign Evaluation
Navigation Model Test for the Department of Labor's Employee Benefits Security Administration Website Redesign Effort
OFCCP Customer Experience Survey	NA	OFCCP Customer Feedback Survey
OFCCP Listening Tours
OSHA-Participation in National Fall Prevention Safety Stand Down and VETS-Off Base Transition Training Participant Customer Feedback	NA	Off Base Transition Training Participant Survey
Office of Federal Contracot Compliance Programs Event Evaluation Form	OFCCP Event Evaluation Form	NA
Office of Federal Contract Compliance Programs (OFCCP) Event Evaluation Form
Office of Federal Contract Compliance Programs Mailing List Contact Information	NA	Office of Federal Contract Compliance Programs Mailing List Contact Information
Office of Foreign Labor Certification Ombudsman Program Stakeholder Feedback Form
Office of Workers' Compensation Programs Services Stakeholder Survey
US Department of Labor National Contact Center Email Customer Satisfaction Survey	NA	US Department of Labor National Contact Center Email Customer Satisfaction Survey
Whistleblower Alternative Dispute Resolution Program Questionnaire
Workforce Recruitment Program Customer Service Follow-Up Survey	NA	Customer Service Follow-up: Workforce Recruitment Program

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	300,000	0	0	300,000	0	0
Annual Time Burden (Hours)	30,000	0	0	30,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new request for a generic information collection.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/25/2011

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