Information Collection

OWCP DEEOIC Revised Phone Survey

IC 251426 under ICR 202202-1225-001 · OMB 1225-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0093 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DEEOIC Phone Survey Redesign 2-2-2022.docx	Instruction
ICR A11 Section 280 Clearance - DEEOIC Phone Survey Redesign 2-2-22.docx ICR A11 Section 280 Clearance Supplementary Supporting Statement - DEEOIC Phone Survey Redesign 2-2-22	IC Document

IC Title:

OWCP DEEOIC Revised Phone 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
Instruction			DEEOIC Phone Survey Redesign 2-2-2022.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: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ICR A11 Section 280 Clearance Supplementary Supporting Statement - DEEOIC Phone Survey Redesign 2-2-22	ICR A11 Section 280 Clearance - DEEOIC Phone Survey Redesign 2-2-22.docx	02/04/2022

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