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OWCP DEEOIC Outreach Event Feedback Form
Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)
OMB: 1225-0093
IC ID: 258583
OMB.report
DOL/DM
OMB 1225-0093
ICR 202308-1225-003
IC 258583
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0093 can be found here:
2023-12-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
OWCP DEEOIC Outreach Event Feedback Form
Form
OWCP DEEOIC Outreach Event Feedback Form
Outreach Event Feedback Form.pdf
Form
OWCP DEEOIC Outreach Event Feedback Form
Outreach Event Feedback Form.pdf
Form
ICR A11 Section 280 Clearance - DEEOIC Outreach Event Survey.docx
OWCP DEEOIC Outreach Event Feedback Form - Supplementary Supporting Statement
IC Document
ICR A11 Section 280 Clearance - DEEOIC Outreach Event Survey.docx
OWCP DEEOIC Outreach Event Feedback Form - Supplementary Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OWCP DEEOIC Outreach Event Feedback Form
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
N/A
OWCP DEEOIC Outreach Event Feedback Form
Outreach Event Feedback Form.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
Survivor Compensation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
800
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
800
0
0
0
0
800
Annual IC Time Burden (Hours)
67
0
0
0
0
67
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OWCP DEEOIC Outreach Event Feedback Form - Supplementary Supporting Statement
ICR A11 Section 280 Clearance - DEEOIC Outreach Event Survey.docx
02/15/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.