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Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration
Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)
OMB: 1225-0093
IC ID: 257301
OMB.report
DOL/DM
OMB 1225-0093
ICR 202312-1225-004
IC 257301
( )
Documents and Forms
Document Name
Document Type
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration
Form and Instruction
EBSA Customer Interviews Discussion Guide
DOL_EBSA_Customer Interviews_Discussion Guide_V03.docx
Form and Instruction
EBSA Customer Interviews Discussion Guide
DOL_EBSA_Customer Interviews_Discussion Guide_V03.docx
Form and Instruction
DOL_EBSA_ Customer Interviews_1225-0093 - A11 Section 280 Clearance_V02.docx
1225-0093 - Supporting Statement - EBSA Customer Interviews Discussion Guide
IC Document
DOL_EBSA_ Customer Interviews_1225-0093 - A11 Section 280 Clearance_V02.docx
1225-0093 - Supporting Statement - EBSA Customer Interviews Discussion Guide
IC Document
DOL_EBSA_Feedback_Customer Interviews_Consent Form_V02.docx
EBSA Customer Interviews - Consent Form
IC Document
DOL_EBSA_Feedback_Customer Interviews_Consent Form_V02.docx
EBSA Customer Interviews - Consent Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Customer Interviews for Soliciting Feedback about the Department of Labor Employment and Benefits Security Administration
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
EBSA Customer Interviews Discussion Guide
DOL_EBSA_Customer Interviews_Discussion Guide_V03.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
15
0
0
0
0
15
Annual IC Time Burden (Hours)
10
0
0
0
0
10
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
1225-0093 - Supporting Statement - EBSA Customer Interviews Discussion Guide
DOL_EBSA_ Customer Interviews_1225-0093 - A11 Section 280 Clearance_V02.docx
12/09/2022
EBSA Customer Interviews - Consent Form
DOL_EBSA_Feedback_Customer Interviews_Consent Form_V02.docx
12/09/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.