Family and Medical Leave Act Customer Experience Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:

Documents and Forms

Document Name Document Type
WHD FMLA_v5.pdf Other-Survey
FMLA Customer Exp Survey 2-6-14.docx FMLA Customer Experience Survey Supplementary Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Family and Medical Leave Act Customer Experience 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-Survey			WHD FMLA_v5.pdf		No		Paper Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,713	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,713	1,713
Annual IC Time Burden (Hours)	286	286
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FMLA Customer Experience Survey Supplementary Supporting Statement	FMLA Customer Exp Survey 2-6-14.docx	02/06/2014

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