Department of Labor Generic Solution for Outreach Activities

Forms and Documents

Document Name	Status
Form CPI External Stake CPI External Stakeholder Survey Form and Instruction	New
1225-0059FRN30Day_Revision(2016-01-21).docx Supplementary Document	2016-01-29
2015-30529.pdf Supplementary Document	2016-01-29
DOL Customer Satisfaction, Conference and Outreach Activities Generic Supplmental Supporting Statement Template(20170918).doc Supplementary Document	2017-09-18
1225-0059 Supporting Statement B (2016-01-29).docx Supporting Statement B	2016-01-29
1225-0059 Supporting Statement A (2017-09-18_Final).doc Supporting Statement A	2017-11-01

IC Document Collections

IC ID	Document Title	Status
243114	National Apprenticeship Week Event Registration Form Other-Registration Form	New
238750	CPI External Stakeholder Survey Form and Instruction	New
233497	Department of Labor Generic Clearance for the Job Accommodation Network (JAN) Customer Satisfaction Survey Other-Survey	New
229842	Government User Experience Survey Instruction	New
221646	CES Confidence Interval Chart Survey Other-Charts	New

ICR Details

OMB Control No: 1225-0059	ICR Reference No: 201601-1225-004
Status: Active	Previous ICR Reference No: 201304-1225-001
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: Department of Labor Generic Solution for Outreach Activities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/28/2017
	Date Received in OIRA: 01/29/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	36 Months From Approved	11/30/2017
Responses	800,000	0	12,500,000
Time Burden (Hours)	80,000	0	70,000
Cost Burden (Dollars)	0	0	0

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Abstract: Information collections related to customer satisfaction, conference, and outreach activities 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:
	80 FR 75471	12/02/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 6541	02/08/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Department of Labor Generic Clearance for the Job Accommodation Network (JAN) Customer Satisfaction Survey
Government User Experience Survey
CES Confidence Interval Chart Survey
National Apprenticeship Week Event Registration Form
CPI External Stakeholder Survey	CPI External Stakeholder Survey	CPI External Stakeholder Survey

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ICR Summary 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	800,000	12,500,000	0	0	-11,700,000	0
Annual Time Burden (Hours)	80,000	70,000	0	0	10,000	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: Burden changes result from agency experience with the overall information collection in the past three years. This experience showed that the DOL should adjust the ceilings by decreasing responses by 11,700,000 (from 12500000 to 80,000) and increasing time by 10,000 hours (from 70,000 to 80,000).

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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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 01/29/2016

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