DOL Generic Solution for Customer Satisfaction Surveys and Conference Evaluations

Forms and Documents

Document Name	Status
DOL National Contact Center E-Correspondence Contact Form and DOL Web Site Customer Satisfaction Survey Form	New
Wage and Hour Division Fair Labor Standards Act Customer Satisfaction Survey and Office of Disability Employment Policy HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey Form and Instruction	New
1225-0059ssb(20121118).docx Supporting Statement B	2012-11-27
1225-0059_Instruments(2012).doc Supplementary Document	2012-11-18
Executive Order 13571, Streamlining Service Delivery and Improving Customer Service.pdf Supplementary Document	2012-11-18
1225-0059ssa(20121118).doc Supporting Statement A	2012-11-18

IC Document Collections

IC ID	Document Title	Status
206430	DOL National Contact Center E-Correspondence Contact Form and DOL Web Site Customer Satisfaction Survey Form	New
206420	The FedCASIC 2013 Feedback Survey Other-Web Survey	New
205409	Wage and Hour Division Fair Labor Standards Act Customer Satisfaction Survey and Office of Disability Employment Policy HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey Form and Instruction	New

ICR Details

OMB Control No: 1225-0059	ICR Reference No: 201208-1225-001
Status: Historical Active	Previous ICR Reference No: 200909-1225-001
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: DOL Generic Solution for Customer Satisfaction Surveys and Conference Evaluations
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/10/2013
	Date Received in OIRA: 11/27/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved	01/31/2013
Responses	375,000	0	200,000
Time Burden (Hours)	37,500	0	20,000
Cost Burden (Dollars)	0	0	0

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Abstract: Customer satisfaction and conference evaluation surveys provide important information on customer attitudes about the delivery and quality of agency products/services and will be used as part of an ongoing process to improve DOL programs and products.

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Authorizing Statute(s): None

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:
	77 FR 55506	09/10/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 70825	11/27/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
The FedCASIC 2013 Feedback Survey
Wage and Hour Division Fair Labor Standards Act Customer Satisfaction Survey and Office of Disability Employment Policy HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey	NA, NA	FLSA Customer Satisfaction Survey ,   HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey Form
DOL National Contact Center E-Correspondence Contact Form and DOL Web Site Customer Satisfaction Survey	NA, NA	National Contact Center Contact Us Web Page ,   DOL Web Site Customer Satisfaction Survey

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ICR Summary 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	375,000	200,000	0	0	175,000	0
Annual Time Burden (Hours)	37,500	20,000	0	0	17,500	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: Changes to the estimated burden stem from revised estimates and not from discretionary program changes. Two factors were considered. The first factor that resulted in a revision to the estimate is that it was not clear at the time of the 2009 ICR that the then somewhat new reginfo.gov database would not capture the burden imposed by some previously approved instruments the DOL intended to re-authorize. As noted in item 12, upon OMB approval of this extension request, the DOL will submit a generic request to capture the burden for any instruments that DOL program agencies wish to continue. The second factor is that some of the generics previously approved under the 1225-0059 would now qualify for clearance under the 1225-0086

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Annual Cost to Federal Government: $108,503

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: 11/27/2012

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