Health Benefits Education Campaign Compliance Assistance Survey

Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 1225-0088

IC ID: 229785

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

View Information Collection (IC)

Health Benefits Education Campaign Compliance Assistance Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey hbecsurvey1117.pdf No   Paper Only

Health Health Care Services

 

300 0
   
Private Sector Businesses or other for-profits
 
   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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
EBSA HBEC Survey Mini SS EBSA HBEC Survey Mini SS.pdf 02/01/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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