OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Employee Benefits Security Administration Participant Assistance Program Customer Survey

IC 207869 under ICR 201304-1225-001 · OMB 1225-0059.

Documents and Forms
Document Name
Document Type
Other-CATI Survey Instrument
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Employee Benefits Security Administration Participant Assistance Program Customer Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-CATI Survey Instrument US_Department_of_Labor_-_EBSA_CE11_1210_Outbound_2013 .docx Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

6,380 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,380 0 6,380 0 0 0
Annual IC Time Burden (Hours) 851 0 851 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Employee Benefits Security Administration Participant Assistance Program Customer Survey Justification Employee Benefits Security Administration Participant Assistance Program Customer Survey Supplemental Supporting Statement(20130724).docx 07/24/2013
Office of the Chief Evaluation Officer Approval CEO Approval.pdf 07/23/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.