EBSA Participant Assistance Program Customer Survey

DOL Generic Solution for Customer Satisfaction Surveys and Conference Evaluations

OMB: 1225-0059

IC ID: 219180

Information Collection (IC) Details

View Information Collection (IC)

EBSA 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-Telephone Survey US_DOL_EBSA_2016_Q1_CE3_Outbound_2015 10 06 09 57.docx No   Paper Only

Income Security General Retirement and Disability

 

11,000 0
   
Individuals or Households
 
   0 %

  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 11,000 0 11,000 0 0 0
Annual IC Time Burden (Hours) 1,467 0 1,467 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Supporting Statement Part A Revised OMB Part A Revision for FY15 Q3 Survey cuts.docx 12/04/2015
OMB Supporting Statement Part B OMB Part B.docx 12/04/2015
OCEO Statistical Method Approval EBSA_Customer Survey Signed Approval.pdf 12/04/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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