Information Collection

Office of Workers' Compensation Programs Services Stakeholder Survey

IC 218084 under ICR 201406-1225-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
New OWCP phone survey script and questions (20150902).docx	Other-Telephone Survey
Generic_Clearance_Submission_9-2-15.docx Generic Clearance Justification	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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Telephone Survey			New OWCP phone survey script and questions (20150902).docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,416

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,416	6,416
Annual IC Time Burden (Hours)	214	214
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Justification	Generic_Clearance_Submission_9-2-15.docx	09/02/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.