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Benefits.gov Customer Satisfaction Survey and Comment Card
Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1225-0088
IC ID: 221254
OMB.report
DOL/DM
OMB 1225-0088
ICR 201406-1225-002
IC 221254
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:
2023-12-01 - Extension without change of a currently approved collection
2020-10-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
1225-0088 Benefits.gov Survey Questions (04-25-2016).docx
Other-Survey Questions
1225-0088 Benefits_gov_Invitation_PRA Mock Up (04-25-2016).png
Other-Invitation
1225-0088 DOL_CommentCard_OMBcompliance (05-02-2016).png
Other-Comment Card View
1225-0088 Generic_Clearance_Submission_Benefits gov_Final_Survey and Comment Card (05-05-2016).docx
Supporting Statement: Benefits.gov Customer Satisfaction Survey and Comment Card
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Benefits.gov Customer Satisfaction Survey and Comment Card
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey Questions
1225-0088 Benefits.gov Survey Questions (04-25-2016).docx
Yes
Yes
Fillable Fileable
Other-Invitation
1225-0088 Benefits_gov_Invitation_PRA Mock Up (04-25-2016).png
Yes
Yes
Printable Only
Other-Comment Card View
1225-0088 DOL_CommentCard_OMBcompliance (05-02-2016).png
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
9,600
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
9,600
0
9,600
0
0
0
Annual IC Time Burden (Hours)
360
0
360
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement: Benefits.gov Customer Satisfaction Survey and Comment Card
1225-0088 Generic_Clearance_Submission_Benefits gov_Final_Survey and Comment Card (05-05-2016).docx
05/05/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.