Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers

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⚠️ Notice: This information collection may be referencing outdated material.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
Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers Form and Instruction
DEEOIC Resource Center Customer Service Survey Resource Center Survey.pdf Form and Instruction
DEEOIC Resource Center Customer Service Survey Resource Center Survey.pdf Form and Instruction
ICR A11 Section 280 Clearance - DEEOIC Resource Center Survey August 2022.docx DEEOIC Resource Center Customer Service Survey - Supporting Statement IC Document
ICR A11 Section 280 Clearance - DEEOIC Resource Center Survey August 2022.docx DEEOIC Resource Center Customer Service Survey - Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Paper Survey for Soliciting Feedback for OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) from Resource Center Customers	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	DEEOIC Resource Center Customer Service Survey	Resource Center Survey.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Unemployment Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
DEEOIC Resource Center Customer Service Survey - Supporting Statement	ICR A11 Section 280 Clearance - DEEOIC Resource Center Survey August 2022.docx	08/26/2022

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