DOL Generic Solution for Customer Satisfaction Surveys and Conference Evaluations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
FedCASIC Web Survey	Form and Instruction	New	Available
United States Department of Labor National Contact Center Mailing List Request Form	Form and Instruction	New	Available
Written Compliance Assistance	Form and Instruction	New	Available
Event Evaluation Form	Form and Instruction	New	Available
DOL Web Site Customer Satisfaction Survey	Form	Unchanged	Available
National Contact Center Contact Us Web Page	Form	Unchanged	Available
HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey Form	Form and Instruction	Unchanged	Available
FLSA Customer Satisfaction Survey	Form and Instruction	Unchanged	Available
Justification for Non-Material Change(20130427).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-04-27	Available
1225-0059ssb(20121118).docx	Supporting Statement B	Uploaded 2012-11-27	Available
1225-0059_Instruments(2012).doc	Supplementary Document	Uploaded 2012-11-18	Available
Executive Order 13571, Streamlining Service Delivery and Improving Customer Service.pdf	Supplementary Document	Uploaded 2012-11-18	Available
1225-0059ssa(20121118).doc	Supporting Statement A	Uploaded 2012-11-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
219180	EBSA Participant Assistance Program Customer Survey	Other-Telephone Survey	New
218077	Consumer Price Index (CPI) Survey	Other-Web-based Survey	New
217348	Office of Publications and Special Studies (OPUBSS) News Release Survey	Other-Web-based Survey	New
217177	LAUS Stakeholder and State Partners' Feedback Surveys	Other-Web-based Survey	New
215915	EBSA Participant Assistance Program Customer Survey	Other-Phone Survey	New
214415	EBSA Participant Assistance Program Customer Survey	Other-Phone Survey	New
214197	Understanding Data Eser and Data Provider Concerns About QCEW Data Quality and Data Confidentiality	Other-Interview Questions	New
214189	Employment Projections Videos Feedback	Other-Web-based Evaluation	New
212923	Bureau of Labor Statistics, Office of Publications and Special Studies User Surveys	Other-Survey	New
211860	Add Us In Evaluation	Other-Web based survey	New
211070	FedCASIC 2014 Feedback Survey	Form and Instruction	New	FedCASIC Web Survey
210137	Data Users Impact Survey on Redesign of Consumer Expenditure Survey	Other-Web Based Questionaire	New
209538	CES Spreadsheet Reporter User Survey	Other-Internet Survey	New
209492	Current Employment Statistics Customer Satisfaction Outreach Survey	Other-Internet Survey	New
208751	United States Department of Labor National Contact Center Mailing List Request Form	Form and Instruction	New	United States Department of Labor National Contact Center Mailing List Request Form
207869	Employee Benefits Security Administration Participant Assistance Program Customer Survey	Other-CATI Survey Instrument	New
207205	Wage-Hour Written Compliance Assistance Tool Evaluation Form	Form and Instruction	New	Written Compliance Assistance
207205	Wage-Hour Written Compliance Assistance Tool Evaluation Form	Form and Instruction	New	Event Evaluation Form
206430	DOL National Contact Center E-Correspondence Contact Form and DOL Web Site Customer Satisfaction Survey	Form	Unchanged	DOL Web Site Customer Satisfaction Survey
206430	DOL National Contact Center E-Correspondence Contact Form and DOL Web Site Customer Satisfaction Survey	Form	Unchanged	National Contact Center Contact Us Web Page
206420	The FedCASIC 2013 Feedback Survey	Other-Web Survey	Unchanged
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	Unchanged	HIV/AIDS Employment ePolicyWorks eWorkgroup Tracking Tool and Participant Survey Form
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	Unchanged	FLSA Customer Satisfaction Survey

ICR Details

OMB Control No: 1225-0059	ICR Reference No: 201304-1225-001
Status: Historical Active	Previous ICR Reference No: 201208-1225-001
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: DOL Generic Solution for Customer Satisfaction Surveys and Conference Evaluations
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/22/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/27/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	01/31/2016	01/31/2016
Responses	12,500,000	0	375,000
Time Burden (Hours)	70,000	0	37,500
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: 20

table that charts list of burden

IC Title	Form No.	Form Name
Add Us In Evaluation
Bureau of Labor Statistics, Office of Publications and Special Studies User Surveys
CES Spreadsheet Reporter User Survey
Consumer Price Index (CPI) Survey
Current Employment Statistics Customer Satisfaction Outreach Survey
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
Data Users Impact Survey on Redesign of Consumer Expenditure Survey
EBSA Participant Assistance Program Customer Survey
EBSA Participant Assistance Program Customer Survey
EBSA Participant Assistance Program Customer Survey
Employee Benefits Security Administration Participant Assistance Program Customer Survey
Employment Projections Videos Feedback
FedCASIC 2014 Feedback Survey	NA	FedCASIC Web Survey
LAUS Stakeholder and State Partners' Feedback Surveys
Office of Publications and Special Studies (OPUBSS) News Release Survey
The FedCASIC 2013 Feedback Survey
Understanding Data Eser and Data Provider Concerns About QCEW Data Quality and Data Confidentiality
United States Department of Labor National Contact Center Mailing List Request Form	NA	United States Department of Labor National Contact Center Mailing List Request Form
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
Wage-Hour Written Compliance Assistance Tool Evaluation Form	NA, NA	Event Evaluation Form ,   Written Compliance Assistance

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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	12,500,000	375,000	0	0	12,125,000	0
Annual Time Burden (Hours)	70,000	37,500	0	0	32,500	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: This information collection request seeks OMB approval to increase the information collection burden

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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: 04/27/2013

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