Information Collection

EBSA HBEC Customer Satisfaction Survey

IC 254591 under ICR 202312-1225-001 · OMB 1225-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
EBSA HBEC Customer Satisfaction Survey	Form and Instruction
EBSA HBEC Customer Satisfaction Survey HBEC Survey 2022.pdf	Form and Instruction
EBSA HBEC Customer Satisfaction Survey HBEC Survey 2022.pdf	Form and Instruction
HBEC Survey Supporting Statement 2022.docx Supporting Statement - EBSA HBEC Customer Satisfaction Survey	IC Document
HBEC Survey Supporting Statement 2022.docx Supporting Statement - EBSA HBEC Customer Satisfaction Survey	IC Document

IC Title:

EBSA HBEC Customer Satisfaction Survey

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 HBEC Customer Satisfaction Survey	HBEC Survey 2022.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	350	350
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 - EBSA HBEC Customer Satisfaction Survey	HBEC Survey Supporting Statement 2022.docx	07/11/2022

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