Information Collection

Office of Workers' Compensation Programs Customer Service Stakeholder Surveys

IC 263556 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⚠️ Notice: This information collection may be referencing outdated material.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
Form Not Available Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	Form and Instruction
Not Available OWCP phone survey script and questions OWCP phone survey script and questions_2023v2.docx	Form and Instruction
Not Available OWCP phone survey script and questions OWCP phone survey script and questions_2023v4 - 12.12.23.docx	Form and Instruction
Not Available WCMBP Survey CSAT with Link WCMBP Survey CSAT with Link.docx	Form and Instruction
Generic_Clearance_Submission_FINAL_2023.docx Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	IC Document
Generic_Clearance_Submission_FINAL_2023v4 - 12.12.23.docx Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	IC Document

IC Title:

Office of Workers' Compensation Programs Customer Service Stakeholder Surveys

Agency IC Tracking Number:

IC Status: Modified

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	Not Available	OWCP phone survey script and questions	OWCP phone survey script and questions_2023v4 - 12.12.23.docx		No		Paper Only
Form and Instruction	Not Available	WCMBP Survey CSAT with Link	WCMBP Survey CSAT with Link.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,755

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	7,755	1,500	6,255
Annual IC Time Burden (Hours)	517	100	417
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Office of Workers' Compensation Programs Customer Service Stakeholder Surveys	Generic_Clearance_Submission_FINAL_2023v4 - 12.12.23.docx	01/22/2024

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