Information Collection

Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration

IC 257300 under ICR 202308-1225-003 · OMB 1225-0093.

⚠️ Notice: This information collection may be referencing outdated material.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

2025-07-10 - No material or nonsubstantive change to a currently approved collection
2025-04-11 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration	Form and Instruction
EBSA Customer Interviews Recruitment Screener Questions DOL_EBSA_Customer Interviews_Recruitment Screener Questions.docx	Form and Instruction
EBSA Customer Interviews Recruitment Screener Questions DOL_EBSA_Customer Interviews_Recruitment Screener Questions.docx	Form and Instruction
DOL_EBSA_ Customer Interviews Recruiting and Screening_1225-0093 - A11 Section 280 Clearance.docx 1225-0093 - Supporting Statement - EBSA Customer Interviews Recruitment Screener	IC Document
DOL_EBSA_ Customer Interviews Recruiting and Screening_1225-0093 - A11 Section 280 Clearance.docx 1225-0093 - Supporting Statement - EBSA Customer Interviews Recruitment Screener	IC Document
DOL EBSA_Website Redevelopment_Customer Interviews_Invitation Email and Text Messages.docx EBSA Customer Interview Recruitment Invitation	IC Document
DOL EBSA_Website Redevelopment_Customer Interviews_Invitation Email and Text Messages.docx EBSA Customer Interview Recruitment Invitation	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Recruiting and Screening Customers for Customer Interviews for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration

Agency IC Tracking Number:

IC Status: Unchanged

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
Form and Instruction	NA	EBSA Customer Interviews Recruitment Screener Questions	DOL_EBSA_Customer Interviews_Recruitment Screener Questions.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1225-0093 - Supporting Statement - EBSA Customer Interviews Recruitment Screener	DOL_EBSA_ Customer Interviews Recruiting and Screening_1225-0093 - A11 Section 280 Clearance.docx	12/09/2022
EBSA Customer Interview Recruitment Invitation	DOL EBSA_Website Redevelopment_Customer Interviews_Invitation Email and Text Messages.docx	12/09/2022

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