Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal Form and Instruction
Web Survey for Soliciting Feedback for Division of Energ EDP CX Survey - 5-10-2022.docx Form and Instruction
Web Survey for Soliciting Feedback for Division of Energ EDP CX Survey - 5-10-2022.docx Form and Instruction
ICR A11 Section 280 Clearance - DEEOIC EDP Web Survey 5-10-2022.docx Supplementary Supporting Statement - Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Co IC Document
ICR A11 Section 280 Clearance - DEEOIC EDP Web Survey 5-10-2022.docx Supplementary Supporting Statement - Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Co IC Document

Information Collection (IC) Details

IC Title:	Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal	Agency IC Tracking Number:

IC Status: Unchanged

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
Form and Instruction	NA	Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal	EDP CX Survey - 5-10-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supplementary Supporting Statement - Web Survey for Soliciting Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC) Energy Document Portal	ICR A11 Section 280 Clearance - DEEOIC EDP Web Survey 5-10-2022.docx	05/10/2022

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