Department of Labor Generic Clearance for the Collection of Feedback on Agency Service Delivery

Forms and Documents

Document Name	Status
Form Not Available Office of Workers' Compensation Programs Customer Service Stakeholder Surveys Form and Instruction	Unchanged
Form Not Available Event Evaluation and Written Compliance Assistance Tool Evaluation Forms Form	Unchanged
Injury Tracking Application (ITA) 3.0 Beta Testing Form and Instruction	Unchanged
Office of Productivity Stakeholder Survey Form and Instruction	Unchanged
CAPE Youth Customer Satisfaction Survey Form and Instruction	Unchanged
Employment Projections Program Stakeholder Outreach Form	Unchanged
Stakeholder Outreach Survey for the Occupational Employment and Wages Survey (OEWS) Form	Unchanged
Form ODEP Form 1 Workforce Recruitment Program (WRP) Customer Satisfaction Survey Form	Unchanged
Job Corps Admissions Customer Service Survey Form and Instruction	Unchanged
EBSA HBEC Customer Satisfaction Survey Form and Instruction	Unchanged
EBSA Fiduciary Education Seminar Customer Satisfaction Survey Form and Instruction	Unchanged
Form Field Test 1 Field Test for Safety and Health Programs Form and Instruction	Unchanged
Form NLSY26 National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum Form and Instruction	Unchanged
JOLTS User Survey Form and Instruction	Unchanged
Form NLSY26 NLSY26 Cohort and Feedback on Past NLSY79 and NLSY97 Cohorts– User Survey Form and Instruction	Unchanged
Form NLSY26 National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups Form and Instruction	Unchanged
OPT Stakeholder Outreach Survey Form and Instruction	Unchanged
OPUBSS Feedback Survey Form and Instruction	Unchanged
2021 Consumer Expenditure Surveys (CE) Form	Unchanged
VETS TAP Partner Survey Form and Instruction	Unchanged
VETS TAP Navigator Survey Form and Instruction	Unchanged
OFCCP Ombuds Referral Form and Satisfaction Survey Form and Instruction	Unchanged
Generic Clearance Submission Template (1225-0088) nmh.docx Supplementary Document	2023-12-01
Part B Supporting Statement (OMB Control No. 1225-0088) nmh.docx Supporting Statement B	2023-12-01
Supporting Statement (OMB Control No. 1225-0088) nmh.docx Supporting Statement A	2023-12-01

IC Document Collections

IC ID	Document Title	Status
263556	Office of Workers' Compensation Programs Customer Service Stakeholder Surveys Form and Instruction	Unchanged
263169	Event Evaluation and Written Compliance Assistance Tool Evaluation Forms Form	Unchanged
261632	Injury Tracking Application (ITA) 3.0 Beta Testing Form and Instruction	Unchanged
260811	Office of Productivity Stakeholder Survey Form and Instruction	Unchanged
260349	CAPE Youth Customer Satisfaction Survey Form and Instruction	Unchanged
259373	Employment Projections Program Stakeholder Outreach Form	Unchanged
259166	Stakeholder Outreach Survey for the Occupational Employment and Wages Survey (OEWS) Form	Unchanged
259052	Workforce Recruitment Program (WRP) Customer Satisfaction Survey Form	Unchanged
255720	Job Corps Admissions Customer Service Survey Form and Instruction	Unchanged
254591	EBSA HBEC Customer Satisfaction Survey Form and Instruction	Unchanged
254584	EBSA Fiduciary Education Seminar Customer Satisfaction Survey Form and Instruction	Unchanged
254342	Field Test for Safety and Health Programs Form and Instruction	Unchanged
252458	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum Form and Instruction	Unchanged
252233	JOLTS User Survey Form and Instruction	Unchanged
251657	NLSY26 Cohort and Feedback on Past NLSY79 and NLSY97 Cohorts– User Survey Form and Instruction	Unchanged
251623	National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups Form and Instruction	Unchanged
251401	BLS Small-group discussions on retail and retail-related perspectives Other-Discussion Questions	Unchanged
250408	DOL Enforcement Database Survey Other-Survey Instrument	Unchanged
249585	OPT Stakeholder Outreach Survey Form and Instruction	Unchanged
249470	OPUBSS Feedback Survey Form and Instruction	Unchanged
249078	2021 Consumer Expenditure Surveys (CE) Form	Unchanged
248301	VETS TAP Partner Survey Form and Instruction	Unchanged
248300	VETS TAP Navigator Survey Form and Instruction	Unchanged
248016	OFCCP Ombuds Referral Form and Satisfaction Survey Form and Instruction	Unchanged
247112	2021 FedCASIC Post-Workshops Survey Other-Survey with Instructions	Unchanged

ICR Details

OMB Control No: 1225-0088	ICR Reference No: 202312-1225-001
Status: Received in OIRA	Previous ICR Reference No: 202010-1225-001
Agency/Subagency: DOL/DM	Agency Tracking No:
Title: Department of Labor Generic Clearance for the Collection of Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/01/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2024
Responses	400,000	380,000
Time Burden (Hours)	40,000	38,000
Cost Burden (Dollars)	0	0

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Abstract: This collection of information is necessary to enable the Agency to collect customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 48265	07/26/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 67823	10/02/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 25

IC Title	Form No.	Form Name
2021 Consumer Expenditure Surveys (CE)	NA	CE External Stakeholder Survey
2021 FedCASIC Post-Workshops Survey
BLS Small-group discussions on retail and retail-related perspectives
CAPE Youth Customer Satisfaction Survey	NA, NA, NA, NA, NA	CAPE-Y CSG ,   CAPE-Y WG Members Interview ,   CAPE-Y WG Members Survey ,   CAPE-Y Youth Interview ,   CAPE Youth Survey
DOL Enforcement Database Survey
EBSA Fiduciary Education Seminar Customer Satisfaction Survey	NA	EBSA Fiduciary Education Seminar Customer Satisfaction Survey
EBSA HBEC Customer Satisfaction Survey	NA	EBSA HBEC Customer Satisfaction Survey
Employment Projections Program Stakeholder Outreach	NA	Employment Projections Program Stakeholder Outreach
Event Evaluation and Written Compliance Assistance Tool Evaluation Forms	Not Available, Not Available	Event Evaluation Form ,   Written Compliance Assistance Tool Evaluation Form
Field Test for Safety and Health Programs	Field Test 1	Field Test - SHP Step-by-Step Guide - Feedback Questions
Injury Tracking Application (ITA) 3.0 Beta Testing	N/A, N/A	BETA Test Feedback Form ITA 3.0 ,   Beta test invitation
JOLTS User Survey	NA	JOLTS Customer Service Survey
Job Corps Admissions Customer Service Survey	NA	Job Corps Admissions Customer Service Survey
NLSY26 Cohort and Feedback on Past NLSY79 and NLSY97 Cohorts– User Survey	NLSY26	Needs Assessment User Outreach Survey
National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups	NLSY26	NLSY26 Needs Assessment Listening Session
National Longitudinal Survey of Youth Needs Assessment for Proposed NLSY26 Focus Groups - Addendum	NLSY26, NLSY26, NLSY26, NLSY26, NLSY26	NLS Listening Sessions Protocol 6 Think Tanks ,   NLS Listening Sessions Protocol Child & Family ,   NLS Listening Sessions Protocol Health Environment ,   NLS Listening Sessions Protocol International Surveys ,   NLS Listening Sessions Protocol Mental Health
OFCCP Ombuds Referral Form and Satisfaction Survey	NA, NA	Ombuds Service Evaluation Form ,   Ombuds Service Referral Form
OPT Stakeholder Outreach Survey	NA	OPT Stakeholder Outreach Survey
OPUBSS Feedback Survey	NA	OPUBSS Feedback Survey
Office of Productivity Stakeholder Survey	NA	OPT Stakeholder Survey 2023_OSMR
Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	Not Available	OWCP phone survey script and questions
Stakeholder Outreach Survey for the Occupational Employment and Wages Survey (OEWS)	NA	OEWS Stakeholder Survey Instrument
VETS TAP Navigator Survey	NA	TAP Navigator Survey
VETS TAP Partner Survey	NA	TAP Partner Survey
Workforce Recruitment Program (WRP) Customer Satisfaction Survey	ODEP Form 1	Workforce Recruitment Program (WRP) Customer Satisfaction Survey

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	400,000	380,000	0	0	20,000	0
Annual Time Burden (Hours)	40,000	38,000	0	0	2,000	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There was an increase in burden hours from 38,000 to 40,000 due to an increase in respondents, from 380,000 to 400,000 and responses from 380,000 to 400,000. Costs to respondents remained 0.

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Annual Cost to Federal Government: $400,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/01/2023

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