OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Federal Black Lung Program Customer Experience Survey

IC 255161 under ICR 202308-1225-003 · OMB 1225-0093.

Documents and Forms
Document Name
Document Type
Form
Instruction
Instruction
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Federal Black Lung Program Customer Experience Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA Federal Black Lung Program Customer Experience Survey Customer Experience Survey FINAL 8-2-2022.docx No   Paper Only
Instruction Black Lung Survey Instructions.docx No   Paper Only

Income Security Unemployment Compensation

 

500 0
   
Individuals or Households
 
   0 %

  Requested 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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 83 0 0 0 0 83
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Federal Black Lung Program Customer Experience Survey - Supporting Statement 1225-0093 - A11 Section 280 Clearance - Black Lung 8-4-22.docx 08/04/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.