DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish

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⚠️ Notice: This information collection may be referencing outdated material.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
DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish Form and Instruction
Spanish Language Web Feedback Survey Spanish Language Feedback Survey - Spanish.docx Form and Instruction
Spanish Language Web Feedback Survey Spanish Language Feedback Survey - Spanish.docx Form and Instruction
ICR - A11 Spanish Language Survey.docx 1225-0093 - DEEOIC Spanish Language Survey IC Document
ICR - A11 Spanish Language Survey.docx 1225-0093 - DEEOIC Spanish Language Survey IC Document

Information Collection (IC) Details

IC Title:	DOL OWCP Division of Energy Employees Occupational Illness Compensation (DEEOIC) - Web Survey for Soliciting Feedback - Spanish	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	Spanish Language Web Feedback Survey	Spanish Language Feedback Survey - Spanish.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: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1225-0093 - DEEOIC Spanish Language Survey	ICR - A11 Spanish Language Survey.docx	03/24/2023

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