Information Collection

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

IC 251709 under ICR 202312-1225-004 · OMB 1225-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0093 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OWCP Web-based Survey for Soliciting Webinar Feedback for Division of Energy Employees Occupational Illness Compensation (DEEOIC)	Form and Instruction
DEEOIC Webinar Survey Language Webinar Survey Language - 2-22-2022.docx	Form and Instruction
DEEOIC Webinar Survey Language Webinar Survey Language - 2-22-2022.docx	Form and Instruction
Supporting Statement - A11 Section 280 Clearance - DEEOIC Webinar Web-based Survey 2-22-2022.docx Supporting Statement - A11 Section 280 Clearance - DEEOIC Webinar Web-based Survey	IC Document
Supporting Statement - A11 Section 280 Clearance - DEEOIC Webinar Web-based Survey 2-22-2022.docx Supporting Statement - A11 Section 280 Clearance - DEEOIC Webinar Web-based Survey	IC Document

IC Title:

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

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	DEEOIC Webinar Survey Language	Webinar Survey Language - 2-22-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement - A11 Section 280 Clearance - DEEOIC Webinar Web-based Survey	Supporting Statement - A11 Section 280 Clearance - DEEOIC Webinar Web-based Survey 2-22-2022.docx	02/22/2022

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