Information Collection

Office of Workers' Compensation Programs Services Stakeholder Survey

IC 211535 under ICR 201104-1225-001 · OMB 1225-0088.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.