Information Collection

Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website

IC 257303 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⚠️ Notice: This information collection may be referencing outdated material.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:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website	Form and Instruction
EBSA Tree Testing Baseline Survey DOL_EBSA_Tree Testing Baseline Survey_V05.docx	Form and Instruction
EBSA Tree Testing Baseline Survey DOL_EBSA_Tree Testing Baseline Survey_V05.docx	Form and Instruction
DOL_EBSA_Tree Testing Survey_1225-0093 - A11 Section 280 Clearance.docx Supporting Statement - A11 280 EBSA Tree Testing	IC Document
DOL_EBSA_Tree Testing Survey_1225-0093 - A11 Section 280 Clearance.docx Supporting Statement - A11 280 EBSA Tree Testing	IC Document
DOL_EBSA_Feedback_Tree Testing Survey_Consent Form.docx EBSA Tree Testing - Consent Form	IC Document
DOL_EBSA_Feedback_Tree Testing Survey_Consent Form.docx EBSA Tree Testing - Consent Form	IC Document

IC Title:

Tree Testing for Soliciting Feedback for the Department of Labor Employment and Benefits Security Administration Website

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 Tree Testing Baseline Survey	DOL_EBSA_Tree Testing Baseline Survey_V05.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: 30

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	30	30
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement - A11 280 EBSA Tree Testing	DOL_EBSA_Tree Testing Survey_1225-0093 - A11 Section 280 Clearance.docx	12/09/2022
EBSA Tree Testing - Consent Form	DOL_EBSA_Feedback_Tree Testing Survey_Consent Form.docx	12/09/2022

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