Office of Workers' Compensation Programs Services Stakeholder 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⚠️ Notice: This information collection may be referencing outdated material.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
OWCP Customer Satisfaction Survey.pdf Other-Survey
OWCP Customer Satisfaction Survey Screen Capture.docx Other-Survey Header
Paper Survey for Longshore 2014.pdf Other-null
BL Phone Survey.pdf Other-null
Generic_Clearance_Submission_OWCP.docx OWCP Services Stakeholder Survey Supplemental Supporting Statement IC Document
Introductory Survey Letter (2014-04-10).doc OWCP Services Stakeholder Survey Cover Letter IC Document

Information Collection (IC) Details

IC Title:	Office of Workers' Compensation Programs Services Stakeholder Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	OWCP Customer Satisfaction Survey.pdf	Yes	Yes	Fillable Fileable
Other-Survey Header	OWCP Customer Satisfaction Survey Screen Capture.docx	Yes	Yes	Fillable Fileable
Other-null	Paper Survey for Longshore 2014.pdf	No		Paper Only
Other-null	BL Phone Survey.pdf	No		Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OWCP Services Stakeholder Survey Supplemental Supporting Statement	Generic_Clearance_Submission_OWCP.docx	05/06/2014
OWCP Services Stakeholder Survey Cover Letter	Introductory Survey Letter (2014-04-10).doc	05/06/2014

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